HIV/AIDS is a devastating global epidemic responsible for more than 25 million deaths since 1981 [1]. The World Health Organization (WHO) concludes that “adult male circumcision is the first and thus far only proven efficacious biomedical intervention for the prevention of sexually transmitted HIV infection in adults” [2]. Thus, public health organizations, along with most of Africa's ministries of health, have either launched or are preparing to launch mass male circumcision roll-out plans [3]. In sub-Saharan Africa, adult male circumcision occurs in both clinical settings and traditional ceremonies. Unlike male infant circumcision, adult circumcision requires suturing for homeostasis and wound closure that makes the procedure more difficult and longer, thus resulting in higher complication rates [4].
ShangRing and PrePex, both of which have attracted the attention of public health authorities in Africa, are new devices that claim to accommodate clinical adult male...