Document Detail


The acceptability and safety of the Shang Ring for adult male circumcision in Rakai, Uganda.
MedLine Citation:
PMID:  23614991     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Medical 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.
METHODS: HIV-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.
RESULTS: Six 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.
CONCLUSIONS: The 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.
Authors:
Godfrey Kigozi; Richard Musoke; Stephen Watya; Nehemiah Kighoma; Paschal Ssebbowa; David Serwadda; Fred Nalugoda; Frederick Makumbi; Philip Li; Richard Lee; Marc Goldstein; Maria Wawer; Nelson Sewankambo; Ronald H Gray
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of acquired immune deficiency syndromes (1999)     Volume:  63     ISSN:  1944-7884     ISO Abbreviation:  J. Acquir. Immune Defic. Syndr.     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-10-21     Completed Date:  2013-11-12     Revised Date:  2014-08-17    
Medline Journal Info:
Nlm Unique ID:  100892005     Medline TA:  J Acquir Immune Defic Syndr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  617-21     Citation Subset:  IM; X    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Circumcision, Male / adverse effects*,  methods*
Humans
Male
Middle Aged
Patient Acceptance of Health Care*
Postoperative Complications / epidemiology*
Uganda
Wound Healing
Young Adult
Grant Support
ID/Acronym/Agency:
U01 AI075115/AI/NIAID NIH HHS; U01 AI100031/AI/NIAID NIH HHS; UO1 AI075115-0451/AI/NIAID NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Client demands for unsafe sex: the socioeconomic risk environment for HIV among street and off-stree...
Next Document:  Accuracy of definitions for linkage to care in persons living with HIV.