Chinese Shang Ring Male Circumcision: A Review

Ma, Qi; Fang, Li; Yin, Wei-qi; Ma, Jianwei; Wu, Kerong; Yan, Zejun; Cheng, Yufeng

doi:10.1159/000464449

Cited by 6 publications

(2 citation statements)

References 36 publications

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“… 26 Few male infants undergo circumcision in China, although some eventually undergo this surgery in adulthood. 27 Phimosis is regarded as a risk factor for UTI. 28 , 29 Bacteria could colonize the prepuce cavity and cause retrograde infection.…”

Section: Discussionmentioning

confidence: 99%

Pathogen distribution and risk factors for urinary tract infection in infants and young children with retained double-J catheters

et al. 2021

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Objectives To investigate the pathogens and potential risk factors for urinary tract infection (UTI) in patients with retained double-J catheters (DJCs). Methods In total, 107 infants and young children with DJCs were included in this retrospective analysis. Patients were included in the infection group (n = 30) or non-infection group (n = 77), according to UTI presence or absence. The species and characteristics of pathogens were investigated, and the clinical features of the patients were recorded for further analysis. Results Gram-negative bacilli were the most common causative pathogens (69.2%), among which Escherichia coli was most frequent (38.5%). The second most common causative pathogens were Gram-positive cocci (28.2%), among which Enterococcus faecalis was most frequent (10.3%). UTIs among patients in this study were associated with the following factors: catheter retention (long-term) (odds ratio [OR] = 2.514, 95% confidence interval [CI] = 1.176–5.373), sex (male) (OR = 2.966, 95% CI = 1.032–8.529), DJC retention (long-term) (OR = 1.869, 95% CI = 1.194–2.926), and DJC number (unilateral) (OR = 0.309, 95% CI = 0.103–0.922). Conclusions Infants and young children with DJCs were likely to experience UTIs, mainly caused by Gram-negative bacilli. Long-term catheter retention or DJC retention, male sex, and bilateral DJC retention were risk factors for UTI.

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Section: Discussionmentioning

confidence: 99%

Pathogen distribution and risk factors for urinary tract infection in infants and young children with retained double-J catheters

et al. 2021

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“…We refer to the literature for the operational methods of the three groups, namely, group A [3] (Fig. 1), group B [4] (Fig. 2), and group C [5] (Fig.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Efficacy of three types of circumcision for children in the treatment of phimosis: A retrospective study

Zhu

2022

Medicine

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Phimosis is a common condition of the urinary system in children and often requires surgical treatment. However, the optimal method of circumcision for children has not been determined. Herein, we analyzed the efficacy of 3 circumcision methods for children with phimosis. A retrospective analysis of 112 cases of pediatric phimosis after circumcision was conducted at our hospital. Among them, 36 cases were subjected to conventional operation (group A), 43 cases to ring circumcision (group B), and 33 cases to suturing device circumcision (group C). The duration of operation, amount of bleeding, pain, complications, healing time, and the satisfaction of the guardians were calculated. The operation time of group B and C was (6.26 ± 1.31) min and (7.67 ± 1.29) min, respectively, which was shorter than group A (27.42 ± 2.42) min (P < .05); besides, group A had the most blood loss volume, (9.67 ± 1.67) mL, and group B was the least (1.26 ± 0.44) mL (P < .05); group B had the strongest postoperative pain (4.05 ± 0.37), the longest pain time (6.84 ± 1.29) days, and the longest healing time (21.84 ± 4.23) days (P < .05). Postoperative complications were lowest in group C (11.11% vs 20.93% vs 6.06%), satisfaction of guardians was highest in group C (86.11% vs 85.27% vs 89.99%), but the difference was not statistically significant (P > .05). Three types of surgical procedures present with advantages and disadvantages. The conventional surgery led to longer operation time and more bleeding but did not require special medical equipment and was easy to carry out; ring surgery had the shortest operation time, the least bleeding, accompanied by the longest recovery time and pain duration; the complications of the suturing device were the least, the parents had the highest degree of satisfaction, however, it also needs a specific suturing device. Therefore, each type had its distinctive characteristics and may be flexibly selected based on their own conditions.

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The Effect of Different Doses of Ropivacaine for Caudal Block in School-aged Children Undergoing Shang Ring Circumcision

Zhang,

Huang

et al. 2024

Journal of PeriAnesthesia Nursing

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Chinese Shang Ring Male Circumcision: A Review

Cited by 6 publications

References 36 publications

Pathogen distribution and risk factors for urinary tract infection in infants and young children with retained double-J catheters

Pathogen distribution and risk factors for urinary tract infection in infants and young children with retained double-J catheters

Efficacy of three types of circumcision for children in the treatment of phimosis: A retrospective study

The Effect of Different Doses of Ropivacaine for Caudal Block in School-aged Children Undergoing Shang Ring Circumcision

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