title: Shang Ring versus forceps-guided adult male circumcision: a randomized, controlled effectiveness study in southwestern Uganda.
abstract: 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.
authors.affiliation: *Department of Surgery, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda; †Good Shepherd Hospital, Siteki, Swaziland; ‡North West Deanery, Manchester, UK; §Mbarara Regional Referral Hospital, Mbarara, Uganda; and ‖Massachusetts General Hospital Center for Global Health, Harvard Medical School, Boston, MA.
authors.forename: Samuel
authors.initials: S
authors.lastname: Kanyago
authors.forename: David M
authors.initials: DM
authors.lastname: Riding
authors.forename: Elichum
authors.initials: E
authors.lastname: Mutakooha
authors.forename: Alcides
authors.initials: A
authors.lastname: Lopez de la O
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Siedner
mesh_terms: D000328:Adult; D002944:Circumcision, Male / Q000295:instrumentation* / Q000379:methods*; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care; D013525:Surgical Instruments; D013997:Time Factors; D016896:Treatment Outcome; D014454:Uganda; D014945:Wound Healing; D055815:Young Adult