中国商环
Shang Ring

改变了传统的男性包皮环切手术概念


一种更加安全、有效和可接受的男性包皮环切器械和手术方法


欢迎您访问中国商环信息网站!
www.ShangRing.cn
__________________________________________________________________________________________________________________
Spontaneous Detachment of the Shang Ring following Adult Male Circumcision
中国商环在成人包皮环切后的自动脱落

Spontaneous Detachment of the Shang Ring following Adult Male Circumcision

M. Barone1, Q. Awori2, P. Li3, R. Simba4, J. Okech4, A. Aduda4, P. Cherutich5, N. Muraguri5, J. Wekesa6, J. Nyanchoka7, P. Perchal1, P. Masson3, R. Lee3, M. Goldstein3,8, D. Sokal9

 

1. EngenderHealth, New York, USA;

2. EngenderHealth Nairobi, Kenya;

3. Center for Male Reproductive Medicine and Microsurgery, Department of Urology, Weill Cornell Medical College, New York, USA;

4. Homa Bay District Hospital, Homa Bay, Kenya;

5. FHI, Durham, NC;

6. National AIDS/STD Control Programme, Nairobi, Kenya;

7. Ministry of Medical Services, Nairobi, Kenya.

8. The Population Council, New York, USA; 9. Ministry of Public Health and Sanitation, Nairobi, Kenya

 

Background: The Shang Ring is a novel device for adult male circumcision that could facilitate circumcision scale-up. Results of a 2009 pilot study in Kenya suggested the device was safe and acceptable. The device is left on the penis for 7-10 days, then removed by a health provider. To explore safety issues if men did not return for removal and to help determine whether or not a separate removal visit is needed, we explored the possibility of spontaneous detachment when removal is delayed beyond 7 days.


Methods: Fifty HIV-negative men underwent a Shang Ring circumcision at the Homa Bay District Hospital, Kenya. Men were randomly assigned for removal at 7 (15 men), 14 (15 men) or 21 days (20 men). Follow-up visits were at 7, 14, 21, 28 and 42 days after circumcision, and 2 days after removal.


Results: All circumcisions and removals were conducted without significant problems. Mean circumcision and removal times were about 6.6 (±2.5) and 2.6 (±0.8) minutes, respectively. Most men randomized to the 14- and 21-day removal groups had spontaneous detachments. Twenty-two men (44%) had complete spontaneous detachment, mostly between 11-15 days. Seven men (14%) had partial detachments between 8-14 days and requested removal due to pain or discomfort. Only three scheduled removals occurred at day 14 and one at day 21. Healing progressed normally in all men, and about 95% were “very satisfied.” The most common reasons mentioned for satisfaction were rapidity of the procedure and less pain than expected. No severe or serious adverse events occurred.


Conclusion: These data confirm that the Shang Ring is safe and easy to use according to label instructions. Spontaneous detachments occurred when the ring was left in place beyond 7 days. These data provide support for further research on the device as an option in countries where circumcision is being scaled up.

 

SOURCE:

TUPE385 - Poster Exhibition, 6th IAS Conference on HIV Pathogenesis, Treatment and Prevention, 17-20 July 2011 - Rome, Italy. http://pag.ias2011.org/abstracts.aspx?aid=2712



 

 

Click here to show this poster in a PDF file

 
 
__________________________________________________________________________________________________________________

| 主 页 | 文献下载 | 相关新闻 | 版权声明 | 联系我们 |

Shang RingTM 和 商环TM芜湖圣大医疗器械技术有限公司的注册商标

网站设计与维护:南京埃利希生物技术有限责任公司 版权所有

苏ICP备11018658号