A5045049304- Genital Health and Disease
- Urologic and reproductive health conditions
- Urological Disorders and Treatments
- Female Genital Mutilation/Cutting Issues
- Ethics and Legal Issues in Pediatric Healthcare
- Testicular diseases and treatments
- Malaria Research and Control
- Mosquito-borne diseases and control
- ICT in Developing Communities
- HIV/AIDS Research and Interventions
- HIV-related health complications and treatments
- Dupuytren's Contracture and Treatments
- Cervical Cancer and HPV Research
- Viral Infections and Vectors
- African Sexualities and LGBTQ+ Issues
- Public Health Policies and Education
- Blood groups and transfusion
- Body Contouring and Surgery
- Insect Pest Control Strategies
- HIV Research and Treatment
Kenya Medical Research Institute
2022-2024
British Council
2019-2022
New York Proton Center
2015-2020
Royal College of Physicians and Surgeons of Canada
2018
Medical Council of Canada
2018
EngenderHealth
2012-2014
Cornell University
2014
mHealth (Kenya)
2011
To assess safety, preliminary efficacy, and acceptability of the Shang Ring, a novel disposable device for adult male circumcision in Kenya.Forty HIV-negative men were recruited Homa Bay, Kenya. Circumcisions performed by trained physician or nurse working with 1 assistant. Follow-up was conducted at 2, 7, 9, 14, 21, 28, 35, 42 days after circumcision. Rings removed on day 7. Pain assessed using visual analog scale (VAS) (0 = no pain, 10 worst possible). Men interviewed enrollment 7 42.All...
To compare clinical profiles of Shang Ring versus conventional circumcisions.Parallel group open-label randomized controlled trial with one-to-one allocations in 2 sites.We enrolled HIV-negative men aged 18-54 years Homa Bay, Kenya, and Lusaka, Zambia followed them at 2, 7, 14, 21, 28, 42, 60 days after circumcision. We compared the duration surgery, postoperative pain using a visual analog scale, adverse events rates, time to complete wound healing by assessment, participant acceptability,...
Objectives: To assess healing with Shang Ring removal at different prespecified times; whether spontaneous detachment occurs delayed removal; problems, complaints, and acceptability of wearing the device; satisfaction among participants; procedure providers. Methods: Fifty HIV-negative men underwent a circumcision in Kenya. Men were randomly assigned for device 7 (15 men), 14 or 21 days (20 men). Follow-up visits 7, 14, 21, 28, 42 after 2 removal. Results: Circumcision conducted without...
Circumcision devices can facilitate adult voluntary medical male circumcision programs for HIV prevention. The World Health Organization recommends field studies to confirm the safety of in local settings.We evaluated ShangRing device routine service delivery by measuring adverse event (AE) rates overall and status. We enrolled men aged 18-54 years scheduled them 2 post-circumcision follow-up visits at day 7 removal days 35-42. Men were examined document AEs healing ascertain client...
Male circumcision is a proven prevention strategy against the spread of HIV. The World Health Organization's new 2016-2021 strategic framework on voluntary medical male (VMMC) targets 90% males aged 10-29 years to receive by 2021 in 14 priority sub-Saharan countries while anticipating an increase demand for infant circumcision. It also states that use devices safe and efficient innovation accelerate attainment these goals. primary objective this pilot study was evaluate safety acceptability...
BackgroundUse of medical devices represents a unique opportunity to facilitate scale-up early infant male circumcision (EIMC) across sub-Saharan Africa. The ShangRing, device prequalified by WHO, is approved for use in adults and adolescents requires topical anaesthesia only. We aimed investigate the safety efficacy ShangRing versus Mogen clamp EIMC infants eastern Africa.MethodsIn this multicentre, non-inferiority, open-label, randomised controlled trial, we enrolled healthy (aged <60...
Background: Devices can potentially accelerate scale-up of voluntary medical male circumcision in sub-Saharan Africa. Studies have demonstrated advantages the ShangRing device over conventional circumcision. With need to train providers rapidly for scale-up, concerns arise about transferability techniques and expertise new trainees. Methods: We compared outcomes circumcisions conducted Kenya by experienced (experience with more than 100 circumcisions) newly trained (trained before study...
Background: Men's understanding of counseling messages after voluntary medical male circumcision (VMMC) plays an important role in whether they follow them. Data on triggers for early resumption sex may be useful as scale-up VMMC HIV prevention continues sub-Saharan Africa. Methods: post-VMMC abstinence recommendations, sex, condom use, and resuming were collected from participants during a follow-up interview 35–42 days ShangRing Kenya Zambia. Results: Of 1149 men who had circumcision, 1096...
You have accessJournal of UrologyInfections/Inflammation the Genitourinary Tract: Prostate & Genitalia1 Apr 20111424 A PILOT STUDY OF THE SHANG RING: NOVEL MALE CIRCUMCISION DEVICE FOR HIV PREVENTION Puneet Masson, Mark A. Barone, Philip S. Li, Frederick Ndede, Quentin Awori, Jairus Okech, Peter Cherutich, Nicholas Muraguri, Paul Perchal, Richard K. Howard H. Kim, Yue Cheng, and Marc Goldstein MassonPuneet Masson New York, NY More articles by this author , BaroneMark Barone LiPhilip Li...
You have accessJournal of UrologyPenis/Testis/Urethra: Benign & Malignant Disease III1 Apr 2012925 RANDOMIZED CONTROLLED TRIAL OF THE SHANG RING VERSUS CONVENTIONAL TECHNIQUES FOR ADULT MALE CIRCUMCISION IN KENYA AND ZAMBIA David Sokal, Mark Barone, Raymond Simba, Quentin Awori, Kasonde Bowa, Robert Zulu, Peter Cherutich, Nicolas Muraguri, John Masasabi Wekesa, Paul Perchal, Prisca Kasonde, Stephanie Combes, Puneet Masson, Richard Lee, Marc Goldstein, and Philip Li SokalDavid Sokal Durham,...
Background: Since the recommendation of voluntary medical male circumcision (VMMC) to reduce risk heterosexually acquired HIV, a number adolescent boys and men in 15 priority countries Africa have been circumcised. Our primary goal was identify incidence adverse events (AEs) associated with VMMC assess safety profile among 10 - 14 years. Methods: We searched databases MEDLINE Embase, WHO, conference abstracts from 2005 2019. The AEs estimated by type AE, size study age. Results: retained 40...
You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation II (PD08)1 Apr 2019PD08-11 USE OF TOPICAL ANESTHESIA WITH THE SHANGRING MALE CIRCUMCISION DEVICE: A RANDOMIZED CLINICAL TRIAL IN KENYA Omar Al Hussein Alawamlh*, Soo Jeong Kim, Mark Barone, Quentin Awori, Jairus Oketch, Patrick Otiende, Nixon Nyangweso, Mary Maina, Nicholas Kiswi, Marc Goldstein, Philip S. Li, and Richard K. Lee Alawamlh*Omar Alawamlh* More articles by this author , KimSoo Kim BaroneMark...
Background The ShangRing is a disposable, collar clamp circumcision device pre-qualified for use in men and boys 13 years above. It has been shown to be faster than conventional with comparable adverse event (AE) rates high client satisfaction. Voluntary medical male (VMMC) dramatically reduce the risk of HIV acquisition males. However, fear pain during an important barrier uptake. Use topical anesthesia thus presents opportunity address this. Objectives We sought evaluate safety,...
Introduction Since 2011, Kenya has been evaluating ShangRing device for use in its voluntary medical male circumcision (VMMC) program according to World Health Organization (WHO) guidelines. Compared conventional surgical circumcision, the procedure is shorter, does not require suturing and gives better cosmetic outcomes. After a pilot evaluation of conducted an active surveillance adverse events associated with from 2016–2018 further assess safety, uptake identify any operational...
Background Attention has recently turned toward the use of device-assisted male circumcision to help scale up services in sub-Saharan Africa, with increasing emphasis on younger age groups. We assessed ShangRing for circumcising subset boys aged 10 12 years who were enrolled two randomized clinical trials Kenya. Methods performed a sub-analysis outcomes 197 years; assess no-flip technique men and boys. One trial spontaneous detachment vs. planned removal 7 days post-circumcision. The second...
You have accessJournal of UrologyMale Voiding/Sexual Dysfunction/BPH/ Incontinence/Infection/Infertility1 Apr 2015V3-08 A SIMPLIFIED NO-FLIP SHANG RING CIRCUMCISION TECHNIQUE WITH TOPICAL (EMLA) ANESTHESIA IN ADOLESCENTS AND ADULTS Aaron Bernie, Yifeng Peng, Philip Li, Richard Lee, Chao Jia, Benhai Yang, Quentin Awori, Nian Qing Lu, Mark Barone, and Marc Goldstein BernieAaron Bernie More articles by this author , PengYifeng Peng LiPhilip Li LeeRichard Lee JiaChao Jia YangBenhai Yang...