Circumcision standards: can we improve further?

• 来源期刊: 亚洲男性学杂志（英文版）
• 年，卷（期）: 2014,（6）
• 页码范围: 917
• 页数: 1页
• 语种: 中文
• DOI: 10.4103/1008-682X.133328

摘要

Lv et al.1 present a newly designed disposable circumcision device.The device cuts the foreskin and closes the skin edges with staples simultaneously.Their results suggest a fast operating time,low complication rate,and high patient satisfaction.This device is easy to operate and can be used with local anesthesia alone.In an age when several African countries consider mass circumcision to reduce HIV transmission rates,2,3 physicians have been looking for a simple and safe circumcision method that can easily be taught to others.Provided the results can be replicated by others,this device appears to be an ideal tool for adult mass circumcisions.It has the distinct advantage over the Shang Ring and other penile clamps of immediately removing the skin and the device rather than leaving the ring and await subsequent skin necrosis and healing.In this study,the Shang Ring resulted in higher postoperative pain scores.The cost and general availability for the device have not been discussed and may potentially be a limiting factor for some health services.The device is also not suitable for patients with foreskin adhesions or a buried penis,who will continue to need surgical skills and a manual circumcision.