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JAIDS Journal of Acquired Immune Deficiency Syndromes:
doi: 10.1097/QAI.0b013e3182965d67
Rapid Communication

Shang Ring Versus Forceps-Guided Adult Male Circumcision: A Randomized, Controlled Effectiveness Study in Southwestern Uganda

Kanyago, Samuel MBChB, MMed*,†; Riding, David M. MSc, MBChB, MRCS‡,§; Mutakooha, Elichum MMed, FCS*; Lopez de la O, Alcides MD*; Siedner, Mark J. MD, MPH*,‖

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Abstract

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.

© 2013 by Lippincott Williams & Wilkins

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