Use of the Shang Ring Circumcision Device in Boys Below 18 Years Old in Kenya

Inclusion Criteria: * Must be accompanied by the parent or legally acceptable representative (LAR), who freely consents for participation of the child into the study; * Assent from participant 7 years of age and above who understand study procedure; * Aged between 1 month and 17 years(inclusive); * Body weight of more than 2.5 kgs and penile shaft more than 1 cm in length. * Must be in good general health; * Must be free of genital ulcerations or other visible signs of STI (on examination); * Parent or LAR and if possible the client must be able to understand study procedures and requirements of study participation; * Parent or LAR must agree to return the client to the study site for the full schedule of follow-up visits after his circumcision; * Parent or LAR must have a cell phone or access to a cell phone; and, * Parent or LAR must agree to provide the study staff with an address, phone number, or other locator information while participating in the research study. Exclusion Criteria: * Has a known allergy or sensitivity to lidocaine or other local anesthesia; * Takes a medication that would be a contraindication for elective surgery, such as an anticoagulant or steroid; * Has known bleeding/clotting disorder (e.g. hemophilia); * Has any congenital genitourinary abnormality; * Has an active genital infection, anatomic abnormality or other condition (e.g. severe obesity, diabetes or sickle cell anemia), which in the opinion of the surgeon, prevents the man from undergoing a circumcision as part of this study; or * Is currently participating in another biomedical research study.