Shang Ring Circumcision
What is Circumcision?
Circumcision is a minor surgical procedure that involves the removal of the excess foreskin covering the head of the penis, leaving it exposed. This procedure is commonly performed for medical, cultural, religious, or personal preferences.
Medisave and Insurance Claimable
Circumcision is performed as a day surgery procedure, making it Medisave-claimable. Most hospitalization insurance policies also provide coverage for this procedure. If you are unsure about your insurance eligibility, our team is available to assist with verification and pre-authorization applications. Feel free to contact us for guidance on the claims process.
Why is Circumcision Done?
Circumcision is performed for a variety of reasons tailored to individual needs, preferences, and circumstances. These include:
Medical Benefits
Research suggests circumcision may offer several health advantages. It can reduce the risk of urinary tract infections (UTIs), by limiting bacterial growth in the genital area.
It also lowers the incidence of balanitis—an inflammation of the foreskin or glans often caused by poor hygiene or infection. Additionally, studies, including those from the World Health Organization, indicate a decreased risk of certain sexually transmitted infections (STIs), such as HIV, HPV, and herpes, in circumcised men, likely due to reduced mucosal surface area and fewer entry points for pathogens.
While not a cure-all, these potential benefits make circumcision a consideration for some seeking proactive health measures.Improved Hygiene
By removing the foreskin, circumcision simplifies genital hygiene. The absence of this fold of skin eliminates the potential buildup of smegma—a mixture of dead skin cells, oils, and moisture that can accumulate and harbor bacteria if not cleaned properly.
This can lead to fewer odours, infections, and irritations, offering a practical advantage for those prioritizing ease of maintenance in their daily routine.Cultural and Religious Traditions
Circumcision holds deep significance in many cultures and faiths. In Judaism, it is performed on the eighth day of life as part of the brit milah, a covenant with God rooted in biblical tradition.
Similarly, in Islam, it is widely practiced—often in childhood—as a Sunnah (tradition of the Prophet Muhammad) symbolizing purity and belonging. Beyond these, various indigenous and societal groups worldwide view circumcision as a rite of passage or marker of identity, blending heritage with personal or familial values.Treatment of Medical Conditions
For some, circumcision is a medically necessary procedure to address specific penile conditions. Phimosis, where the foreskin is too tight to retract over the glans, can cause pain, difficulty with hygiene, or sexual dysfunction, often warranting surgical intervention.
Paraphimosis, a related emergency where a retracted foreskin becomes trapped and restricts blood flow, may also require circumcision if other treatments fail. Additionally, individuals with recurrent balanitis or chronic infections unresponsive to conservative care may opt for the procedure to alleviate discomfort and prevent further complications.
What is the benefits of Circumcision?
Circumcision offers a range of potential health benefits, from improved hygiene to a reduced risk of infections and diseases. While the decision to undergo circumcision is personal and may be influenced by cultural, religious, or medical reasons, scientific studies have demonstrated several advantages:
1. Reduced Risk of Urinary Tract Infections (UTIs)
Circumcision significantly lowers the risk of developing urinary tract infections, particularly in infants and young boys. Since the foreskin can trap bacteria, its removal reduces the likelihood of bacterial growth and infections. Studies suggest that circumcised males have a lower incidence of UTIs compared to those who remain uncircumcised.
2. Lower Risk of HIV Acquisition
Circumcision has been shown to reduce the risk of HIV transmission in heterosexual men. A Cochrane review analyzing three large randomized controlled trials involving 11,500 men found that uncircumcised men were almost twice as likely to acquire HIV compared to circumcised men. The removal of the foreskin decreases the number of cells susceptible to HIV infection and lowers the risk of virus retention.
3. Decreased Risk of Sexually Transmitted Infections (STIs)
Several studies suggest that circumcision reduces the risk of contracting sexually transmitted infections (STIs) such as human papillomavirus (HPV), syphilis, and herpes (HSV-2).
- A study involving 7,000 men found that circumcised men were significantly less likely to be infected with HPV.
- There is also strong evidence that male circumcision decreases the transmission of HPV to female partners, reducing their risk of cervical cancer.
4. Protection Against Penile Cancer
Penile cancer is a rare but serious condition that has been linked to chronic inflammation and infections under the foreskin. Circumcision eliminates the risk of conditions such as phimosis (a condition where the foreskin cannot be retracted), which can contribute to inflammation and increase cancer risk. Studies suggest that circumcised men have a lower risk of developing penile cancer compared to those who are uncircumcised.
5. Improved Sexual Function and Satisfaction
Contrary to myths that circumcision affects sexual pleasure, research suggests that it may enhance sexual function and satisfaction for both men and their partners.
- Studies show that >90% of men and women reported being “very satisfied” with the outcome post-circumcision.
- Some studies suggest that circumcision may lead to a lower incidence of premature ejaculation and increased sexual endurance.
- Women with circumcised partners may also experience reduced risk of vaginal infections, contributing to better sexual health and satisfaction.
6. Better Hygiene & Lower Risk of Infections
The foreskin can trap bacteria, moisture, and smegma, leading to unpleasant odors, irritation, and infections such as balanitis (inflammation of the penis head). Circumcision makes it easier to maintain cleanliness and prevents the accumulation of bacteria, reducing the risk of penile inflammation and infections. Good hygiene plays a crucial role in preventing discomfort and improving overall genital health.
Types of Circumsision
Circumcision can be performed using several distinct techniques, each with its own tools, processes, and outcomes. At The Clifford Clinic, we offer a range of options tailored to patient needs and preferences. Below are the primary methods:
1. Conventional Surgical Circumcision
This traditional approach uses a stainless-steel scalpel and/or surgical scissors to excise the foreskin. The procedure begins with local anesthesia—typically administered via injections—to numb the area, though some patients opt for general anesthesia to remain fully asleep. After the foreskin is trimmed, the incision is closed with dissolvable sutures, which may take up to four weeks to fully dissolve.
Duration and Experience:
The process typically lasts 30-45 minutes, making it longer than newer methods. For patients under local anesthesia, this extended time can heighten discomfort or anxiety.
Recovery and Risks:
Post-procedure pain tends to be more pronounced immediately after and for several days following. Studies also note a higher risk of complications, such as bleeding or swelling, compared to some modern techniques. Despite this, it remains a widely practiced and reliable option.
2. Laser Circumcision
Laser circumcision mirrors the conventional method in its steps but employs a focused laser beam to cut the foreskin instead of a scalpel or scissors. Like the traditional approach, it requires local or general anesthesia for pain management.
Perceived Benefits:
The laser cauterizes blood vessels as it cuts, theoretically reducing bleeding. This precision has historically been its main advantage.
Current Evidence:
Recent research, including a 2023 comparative study, challenges this benefit, showing no significant reduction in bleeding or infection rates compared to conventional circumcision. The procedure’s duration and recovery profile are similar to the traditional method, typically taking 30-40 minutes with comparable healing times.
3. Stapler Circumcision
Developed by Chinese physicians, stapler circumcision is an innovative technique using specialized devices like the ZSR or CirCurer (LangHe) staplers. The foreskin is positioned within the device, which simultaneously cuts and staples the tissue closed, eliminating the need for traditional sutures.
Advantages:
This method is notably quick—often completed in 15-20 minutes—and provides excellent control over bleeding due to the stapling mechanism. The streamlined process can reduce operative time and patient discomfort.
Considerations:
While highly effective, there’s a small risk of device malfunction, which could require switching to conventional circumcision mid-procedure. Despite this, its efficiency and outcomes have made it a popular choice in modern practice.
4. Shang Ring Circumcision (Our Preferred Method)
At The Clifford Clinic, we favor Shang Ring circumcision for its simplicity, comfort, and reliability. This sutureless technique uses the Shang Ring—a World Health Organization-prequalified device—consisting of two plastic rings that clamp the foreskin securely.
Procedure:
A topical numbing cream is applied to the foreskin for 30 minutes, eliminating the need for injections or general anesthesia. Once numb, the inner ring is placed under the foreskin, and the outer ring locks it in place. Excess foreskin is then trimmed painlessly, with the entire process taking just 10-15 minutes.
Recovery:
Patients rest in our recovery area for 1-2 hours post-procedure before resuming daily activities. The ring remains in place for about a week, naturally detaching as the tissue heals, leaving a clean, suture-free result.
Benefits:
This method minimizes discomfort, reduces operative time, and lowers complication risks like bleeding or infection. Its patient-friendly design and swift recovery make it our top recommendation.
Understanding the Advantages and Disadvantages of Different Circumcisions
| Technique | Advantages | Disadvantages |
| Conventional Surgical | – Widely practiced and reliable – Suitable for all ages and conditions | – Longer procedure (30-45 mins) – More post-op pain – Higher risk of bleeding – Sutures needed |
| Laser | – Precise cutting – May cauterize blood vessels, potentially reducing bleeding | – No proven reduction in bleeding or infection – Similar duration (30-40 mins) and pain to conventional |
| Stapler | – Quick (15-20 mins) – Good vascular control – No sutures needed | – Risk of equipment failure – May require switch to conventional if device malfunctions |
| Shang Ring | – Fast (10-15 mins) – No injections (topical cream only) – Minimal pain – Sutureless | – Ring remains for ~1 week – Less familiar to some patients compared to traditional methods |
Shang Ring Circumcision at The Clifford Clinic
At The Clifford Clinic, the preferred method of circumcision is Shang Ring Circumcision, a modern, sutureless technique designed for minimal discomfort, faster healing, and superior cosmetic results. This innovative method utilizes the Shang Ring device, which has been rigorously tested and is one of only two male circumcision devices that have received WHO Prequalification for safety and efficacy.
Why Choose Shang Ring Circumcision?
Unlike conventional circumcision methods that require stitches, extensive surgical cutting, or long recovery periods, the Shang Ring technique offers a minimally invasive, quick, and virtually painless alternative.
What is Shang Ring?
The Shang Ring is a specialized medical device used for circumcision that eliminates the need for sutures, offering a minimally invasive, quick, and relatively painless procedure.
It is a disposable, two-piece plastic ring that clamps around the foreskin, allowing for precise removal while minimizing bleeding and discomfort.
How Is Shang Ring Circumcision Performed?
- Preparation:
- A topical numbing cream is applied to the foreskin and left for 30 minutes, ensuring maximum comfort.
- No injections are required, making the procedure ideal for patients who prefer a needle-free experience.
2. Procedure:
- Once the foreskin is numb, a disposable plastic ring is placed around the penis.
- The foreskin is securely clamped in place, and the excess skin is trimmed away painlessly.
- The entire procedure takes only 10-15 minutes, making it one of the fastest and most efficient circumcision methods available.
3. Post-Procedure Recovery:
- After circumcision, the patient will rest in the recovery area for 1-2 hours for observation.
- Patients can return to their daily activities the same day, with only minor restrictions for optimal healing.
Who Is a Good Candidate for Shang Ring Circumcision?
Shang Ring Circumcision is suitable for individuals looking for a safe, quick, and effective circumcision method. It is ideal for:
– Adults & Adolescents Seeking Circumcision – Those who prefer a needle-free, low-pain procedure with a faster recovery time.
– Individuals with Phimosis or Paraphimosis – If the foreskin is too tight or causing discomfort, Shang Ring offers a simple and effective solution.
– Men Looking for Improved Hygiene & Health Benefits – Circumcision can reduce infection risks, improve hygiene, and lower the likelihood of certain medical conditions.
– Patients Concerned About Aesthetics – The Shang Ring method provides a cleaner, natural-looking result without visible stitches or extensive scarring.
– Those Wanting a Shorter Recovery Period – Since no sutures are required, healing is typically faster and more comfortable than traditional circumcision methods.
Meet Our Specialised Doctor
Dr. Law Zhi Wei
Dr. Law Zhi Wei is a medical doctor with extensive experience in Shang Ring and ZSR Circumcision, sutureless and minimally invasive circumcision techniques. He graduated from the National University of Singapore with a Bachelor of Medicine and Surgery and later obtained membership in the Royal College of Surgeons (Edinburgh).
During his training in Tan Tock Seng Hospital’s Urology department, Dr. Law performed hundreds of circumcisions, refining his surgical precision and procedural expertise. His medical training also includes rotations in Urology, General Surgery, and Paediatric Surgery at KKH, SGH, and CGH, where he developed strong procedural skills applicable to circumcision and other minor surgical procedures.
His familiarity with Shang Ring Circumcision allows him to perform the procedure efficiently, while prioritizing patient comfort and recovery.
Beyond urological procedures, Dr. Law specialises in aesthetic and dermatological treatments and holds a Postgraduate Diploma in Practical Dermatology from Cardiff University. He regularly attends medical conferences to stay updated on advancements in surgical and aesthetic medicine.
Why Choose The Clifford Clinic for Shang Ring Circumcision?
– Minimally Invasive & Sutureless – Uses the Shang Ring technique for a quick, precise, and stitch-free procedure.
– Experienced Medical Team – Performed by doctors trained in surgical procedures, ensuring safety and efficiency.
– Sterile & Safe Medical Environment – Procedures are carried out in a well-equipped clinic with strict hygiene standards.
– Personalised Care & Consultations – Pre-procedure assessments and post-care guidance tailored to each patient’s needs.
FAQ
Conventional surgical circumcision involves the use of a stainless-steel scalpel and/or scissors to trim the foreskin. Local anesthetic injections are minimally required to achieve sufficient numbing before the procedure, with some opting for general anesthesia (asleep). After trimming the foreskin, the wound has to be closed with sutures which although absorbable, can last up to 1 month.
Conventional surgical circumcision is associated with a longer operative time (5,6), and would typically take 30-45 minutes, this translates to more discomfort and anxiety for patients who did not receive general anesthesia. Patients who had conventional surgical circumcision had more pain immediately after and a few days following the procedure (5,6). Lastly, conventional circumcision had higher rates of complications such as bleeding.
In laser circumcision, the procedure is done similarly to conventional surgical circumcision, except that a laser is used to trim the foreskin instead of the stainless-steel scalpel or scissors.
Traditionally, the main benefit of using the laser would be the reduced risk of bleeding, as the laser would be able to seal off open blood vessels as it removes the foreskin. However, the latest study has shown that laser circumcision did not reduce the risk of bleeding or infection when compared to conventional surgical circumcision.
Stapler circumcision is a promising technique developed by Chinese physicians. Popular devices for stapler circumcision would include the ZSR or CirCurer (LangHe) stapler devices produced in China. Unfortunately, these devices are not approved by the Health Science Authority of Singapore and cannot be used in Singapore.
We would recommend patients to rest for 1-2 days after the procedure. Patients can walk around comfortably after the procedure, and it does not affect the ability to pass urine.
Patients can return to normal activities after the procedure but are to refrain from strenuous activities such as exercise, swimming, and sex until the wound heals. The healing process would typically take about 3-4 weeks.
Patients can expect some pain and swelling for the first 1-2 weeks, this can be managed with the oral painkillers provided.
The cost of a circumcision surgery is from $1888.
Circumcision is performed as a day surgery procedure, therefore, Medisave may be used. Most hospitalization insurance would also cover this procedure. If you are unsure if your insurance policy would cover the procedure please feel free to contact us for assistance. Assistance with pre-authorization application can also be performed by our team.