Open AccessShang Ring Versus Forceps-Guided Adult Male Circumcision
Author(s) -
Samuel Kanyago,
David Riding,
Elichum Mutakooha,
Alcides Lopez de la O,
Mark J. Siedner
Publication year - 2013
Publication title -
journal of acquired immune deficiency syndromes
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 2.162
H-Index - 157
eISSN - 1944-7884
pISSN - 1525-4135
DOI - 10.1097/qai.0b013e3182965d67
Subject(s) - forceps , medicine , male circumcision , adult male , human immunodeficiency virus (hiv) , surgery , complication , randomized controlled trial , population , health services , environmental health , family medicine
Adult male circumcision (AMC) reduces HIV transmission, but uptake is limited in part by current surgical methods. We randomized HIV-uninfected men (n = 138) to receive Shang Ring (SR)- or forceps-guided AMC from a locally trained surgeon. In as-treated analyses, more SR procedures were completed within 10 minutes (79% versus 0%, P < 0.01) and more subjects reported high satisfaction (77% versus 58%, P = 0.03). Healing time and pain scores were similar, though minor complication rates were higher in SR subjects (56% versus 24%, P < 0.01). SR circumcision is a rapid and acceptable method of AMC and should be further evaluated to increase uptake of AMC.