ArticleJournal of acquired immune deficiency syndromes (1999)2013
The acceptability and safety of the Shang Ring for adult male circumcision in Rakai, Uganda.
Article in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06273696 (Evaluation of the Acceptability and Safety of the ShangRing Device for Male Circumcision in Shinyanga, Tanzania), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of the Acceptability and Safety of the ShangRing Device for Male Circumcision in Shinyanga, Tanzania
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Wound healing rates and wound problems of conventional circumcision compared with ring circumcision: A meta-analysis.International wound journal · 2023Pooled it
- Systematic review: Safety of surgical male circumcision in context of HIV prevention public health programmes.Gates open research · 2022Pooled it
- No-flip ShangRing circumcision in 10-12 year old boys: Results from randomized clinical trials in Kenya.PloS one · 2020Trial
- Trial
- Use of the ShangRing circumcision device in boys below 18 years old in Kenya: results from a pilot study.Journal of the International AIDS Society · 2017Trial
- The Spear and Shield intervention to increase the availability and acceptability of voluntary medical male circumcision in Zambia: a cluster randomised controlled trial.The lancet. HIV · 2015Trial
- Simplifying the ShangRing technique for circumcision in boys and men: use of the no-flip technique with randomization to removal at 7 days versus spontaneous detachment.Asian journal of andrologyTrial
- Novel penile circumcision suturing devices versus the shang ring for adult male circumcision: a prospective study.International braz j urol : official journal of the Brazilian Society of UrologyTrial
- Comparison of ring instruments and classic circumcision methods: a systematic review and meta-analysis.Arab journal of urology · 2022Review
- VMMC clients' perception of increased risk of HIV infection, circumcision preferred choice of method, providers' socio-demographics and mode of service delivery.African health sciences · 2020Article
- Healthcare workers' perceptions and experiences of implementing voluntary medical male circumcision in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2020Article
- Utilization of safe male circumcision among adult men in a fishing community in rural Uganda.African health sciences · 2019Article
- Rollout of ShangRing circumcision with active surveillance for adverse events and monitoring for uptake in Kenya.PloS one · 2019Article
- Circumcision and its effects in Africa.Translational andrology and urology · 2017Review
- Trends in the Marginal Cost of Male Circumcision in Rural Rakai Uganda.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Safety and Efficacy of the PrePex Male Circumcision Device: Results From Pilot Implementation Studies in Mozambique, South Africa, and Zambia.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Innovative Methods of Male Circumcision for HIV Prevention-Getting the Right Evidence.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Perceptions of the PrePex Device Among Men Who Received or Refused PrePex Circumcision and People Accompanying Them.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Employing Demand-Based Volumetric Forecasting to Identify Potential for and Roles of Devices in Scale-Up of Medical Male Circumcision in Zambia and Zimbabwe.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Surgical Outcomes of Newly Trained ShangRing Circumcision Providers.Journal of acquired immune deficiency syndromes (1999) · 2016Observational
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
objectivesMedical male circumcision (MMC) is recommended for HIV prevention in men. We assessed the acceptability and safety of the Shang Ring device compared with those of the dorsal slit method.
methodsHIV-negative, uncircumcised men aged 18 years or older who requested free MMC services in rural Rakai, Uganda, were informed about the Shang Ring and dorsal slit procedures and offered a free choice of procedure. Men were followed at 7 days postoperatively to assess adverse events related to surgery and to remove the Shang Ring. Wound healing was assessed at 4 weeks postoperatively.
resultsSix hundred twenty-one men were enrolled, of whom 508 (81.8%) chose the Shang Ring and 113 the dorsal slit. The Shang Ring was provided to 504 men, among whom there were 4 failures of Ring placement (0.8%) that required surgical hemostasis and wound closure. Five hundred men received the Shang Ring and postoperative surgery-related moderate adverse events were 1.0%, compared with 0.8% among dorsal slit recipients. Complete wound healing at 4 weeks was 84% with the Ring and 100% with the dorsal slit (P < 0001). Resumption of intercourse before 4 weeks was 7.0% with the Ring and 15.0% with the dorsal slit (P = 0.01.) The mean time for surgery was 6.1 minutes with the Ring and 17.7 minutes with the dorsal slit. The mean time for Ring removal was 2.2 minutes.
conclusionsThe Shang Ring is highly acceptable and safe in this setting, and could improve the efficiency of MMC services. However, back-up surgical services are needed in cases of Ring placement failures.
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