Figure 2.

The Shang Ring circumcision procedure: (A) measure the penis to determine which size device to use; (B) administer local anesthesia after preparing the site with antiseptic; (C) place the inner ring onto the penis at the level of the coronal sulcus; (D) grasp the edges of the foreskin with clamps; (E) flip the foreskin over the inner ring; (F) place the out ring over the inner ring, with the foreskin in-between; (G) cut the foreskin on the underside of the device using scissors; (H) make 8-10 slices in the foreskin on the underside of the ring using a scalpel blade. These slits are necessary to allow the skin to spread as healing occurs and to allow for ‘expansion’ of the scab during an erection; (I) the completed procedure. The device remains in place for seven days.