142 George Lane, London, England, E18 1AY

Adult circumcision with Shang Ring Versus Glue

“The Shang Ring circumcision is safe and effective, does not require suturing or electrocautery, and is simple enough to enable the procedure to be performed by non-physician healthcare providers

— Masson P, Li PS, Barone Ma, Goldstein M: The ShangRing device for simplified adult circumcision. Nat Rev Urol 2010;7:638–642

“Conventional adult male circumcision can be easily performed by an experienced urologist and the complications are rare

— Yue Cheng, MD Chief, Professor of Urology and Andrology

“The total postoperative complication rate in the circumcision with Shang ring  was 8.16% (55 of 674)

— Cheng Y, et al : Analysis and prevention of postoperative complications after Shang Ring adult male circumcision. Chinese J Clin 2012;6:e4474–e4476

“The overall postoperative complication rate in shang ring circumcision was 7.11%

— Peng YF, Yang BH, Jia C, Jiang J: [Standardized male circumcision with Shang Ring reduces postoperative complications: a report of 351 cases]. Zhonghua Nan Ke Xue 2010;16: 963–966.

Chinese Shang Ring Male Circumcision: A Review by Urol Int DOI: 10.1159/000464449 (2017)

Please see the report as below: https://www.karger.com/Article/Pdf/464449

“Glue Circumcision: Overall minor complication rate of adult circumcision with glue is 2.8% (5/181) at our circumcision clinic.

— Audit report 1 May 2016 to 30 April 2017 by Dr Khan

Adult circumcision with glue and stitches under local anaesthesia in our Thornhill clinic over 2 years ( Presented as a poster at London Healthcare Conference 2017)

Thornhill Clinic, 1-3 Thornhill Road, Luton, Bedfordshire, England

The widespread acceptance of adult local anaesthesia circumcision in the community remains debatable. We report outcomes (Glue and Stiches) from a dedicated GP clinic over two year period. Patient demographics, indications and postoperative complications were recorded prospectively.

Of 372 circumcisions (glue n=269 and stitches n=103), 230 (62 %) patients had medical indications including 63 (17%) balanitis xerotica obliterans and 11 (2.9%) had minor complications (infection n=6, bleeding n=2 and redo n=3) with no significant difference between the two groups.

Circumcision performed in adults remains a safe surgical option under local anaesthesia in dedicated GP surgeries. This could help ease pressure on local urology departments.

Complication rate in adult circumcision 2016-17.png

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