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Choosing the appropriate ShangRing size for paediatric circumcision using the no‐flip technique
Author(s) -
Fang Li,
Zhu Weichao,
Xie Zhongfei,
Wu Kerong,
Wang Guoyao,
Yan Zejun,
Zheng Zhong,
Ma Qi,
Cheng Yue
Publication year - 2018
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.13660
Subject(s) - medicine , foreskin , glans , surgery , glans penis , pain score , penis , genetics , biology , cell culture
Aim To determine the correct ShangRing size for paediatric circumcision using the no‐flip technique. Methods A cohort of 104 boys (from 6 to 14 years) underwent ShangRing circumcision at Ningbo First Hospital, China. The patients were randomly divided into three groups according to the different methods used for choosing the ring size. For Group A, the ring size was chosen using the ShangRing measuring tape; for Group B, ring size was chosen based on the diameter of penis measured using a self‐designed scale plate; and for Group C, ring size was chosen based on the diameter of the glans measured using the self‐designed scale plate. The surgery duration, foreskin dorsal slit rate, intra‐operative and post‐surgery pain score, pain duration, post‐surgery ring detachment duration, pain score for ring detachment, complication rate and satisfaction rate were compared. Results Group A had the highest dorsal slit rate and the longest surgical period. There were no significant differences in intra‐/post‐surgery pain or ring detachment duration among the three groups. The post‐surgery oedema rate and foreskin asymmetry occurrence rate was the highest in Group A at 40.62 and 21.88%, respectively. Group C had the highest satisfaction rate (97.14%), with a significant difference from Group A (75.00%). Oedema and asymmetry of the foreskin increased, while the satisfaction rate simultaneously decreased when a larger ShangRing was chosen. Conclusions The size of the ShangRing should be chosen in accordance with the diameter of the glans in paediatric ShangRing circumcision using the no‐flip technique.