Novel penile circumcision suturing devices versus the shang ring for adult male circumcision: a prospective study

Abstract

Introduction To evaluate the safety and efficacy of a novel penile circumcision suturing devices PCSD and Shang ring (SR) for circumcision in an adult population.Materials and Methods A total of 124 outpatients were randomly assigned to receive PCSD (n=62) or SR (n=62). Patient characteristics, operative time, blood loss, return to normal activities time (RNAT), visual analogue scale (VAS), scar width, wound healing time, cosmetic result, and complications were recorded.Results There were no significant differences in blood loss, RNAT, or complications between the two groups. There were no significant differences in the VAS scores at the operation, at 6 or 24 hours after surgery (P>0.05). The wound scar width was wider in the SR group than in the PCSD group (P<0.01). Patients in the SR group had significantly longer wound healing time compared with those in the PCSD group (P<0.01). Patients who underwent PCSD were significantly more satisfied with the cosmetic results (P<0.01).Conclusions SR and PCSD are safe and effective minimally invasive techniques for adult male circumcision. Compared with SRs, PCSDs have the advantages of faster postoperative incision healing and a good effect on wound cosmetics.

A Retrospective Taiwanese-Population-Based Clinical Study on Determining the Efficacy and Safety of Disposable Circumcision Anastomat

“…The median operation time of 31 min in our study was longer than the average of other studies between 6.8–10.2 min [ 15 , 27 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. The longer median operation time in our research may be attributed to our assigned operation time record which included time after the patient entry into the operation room and their leaving, and also the post-operative education time.…”

Wound healing rates and wound problems of conventional circumcision compared with ring circumcision: A meta‐analysis

“…Sixteen publications, published between 2011 and 2023, from a total of 2347 connected investigations that met the inclusion criteria were chosen for the investigation. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] The results of these research studies are presented in Table 2. A total of 5838 individuals with circumcision were in the chosen investigations' starting point, 3252 of them were RC, and 2586 were CC.…”

“…Sixteen publications, published between 2011 and 2023, from a total of 2347 connected investigations that met the inclusion criteria were chosen for the investigation 13‐28 . The results of these research studies are presented in Table 2.…”

“…In investigations that were considered for the metaanalysis, 5838 individuals with circumcision were in the chosen investigations' starting point, 3252 of them were RC, and 2586 were CC. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] RC had significantly lower WIR and WBR compared with those with CC. However, RC and CC had no significant difference in WHR, WER, and WDR.…”

“…According to Bratt and Zyambo, 32 the average time for a Shang RC was 13.4 minutes as opposed to 24.3 minutes for a CC. Additionally, several studies [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] have found that the Shang RC group required much less time during surgery.…”