A Simplified, No Flip, Shang Ring Circumcision Technique in Adolescents

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Presented by E. Charles Osterberg, Hai You, Bin Yan, Richard Lee, Melissa Laudano, David Sokal,Mark Barone, Philip S. Li, Marc Goldstein
Department of Urology, Weill Cornell Medical College, New York, NY; Department of Urology, Kunming Children’s Hospital, Kunming, China; FHI360, Durham, NC; EngenderHealth, New York, NY

The Shang Ring (SR) is a single-use, disposable device that provides sutureless circumcision performed under local anesthesia. The device has been safely used on over 200,000 males in China and over 3,000 men who have participated in several clinical trial studies in China and Africa. The SR’s simple design comprises an inner and outer ring placed around the foreskin that allows for a quick (3-5 min) MC to be performed by any health care provider. However despite its ease of use, the conventional SR technique has its limitations, namely difficulty with eversion of the foreskin over the inner ring as well as ring removal post-operatively. To address these limitations, we present a simplified, no flip SR circumcision technique.

This modified, no flip, SR technique affords shorter operative time compared to the standard SR technique while maintaining a low complication rate. Further randomized trials will be necessary to confirm its performance compared to the conventional SR circumcision technique.

(Results previously published on Nat J of Andrology (China): 2010, 16(3) 250-253. Surgery was performed by Drs. Hai You and Bin Yan of Kunming Children’s Hospital in China. The video was produced by Cornell Brady Urology Studio in 2012, it was also received the First Video Prize of Technical Achievement at 2013 ASRM/IFFS meeting in Boston.(ASRM BULLETIN,Volume 15, Number 35, October 17, 2013

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