PLASTIBELL CIRCUMCISION; EVALUATION OF A TECHNIQUE IN 800 CASES

Document Type : Original Article

Authors

1 Department of Surgery, Dallah hospital, Riyadh, KSA

2 Pediatric Surgery Unit, Alexandria Faculty of Medicine, Egypt

3 Department of Surgery, Ein-Shams Faculty of Medicine, Cairo, Egypt.

Abstract

Purpose: Evaluation of plastibell device as an option for circumcision in neonates and infants. 
Material & Methods: Between August 2002 and July 2004, 800 cases had been circumcised by the authors using the plastibell device. Eighty five percent (680 boys) were circumcised before their mothers were discharged from the hospital after delivery. 
This was performed as an office procedure under local anaesthesia. The babies were reviewed one to two weeks later by the same surgeon. 
Results: The mean time for executing the procedure was 5 minutes. In 584 cases (73%) the bell fell off spontaneously between the 5th and the 7th days. Complications occurred in 48 cases (6%). Twelve cases (1.5%) had minor bleeding during the procedure. In five cases the bell had to be taken off and circumcision proceeded in the conventional suturing technique to control bleeding. Twenty-seven cases (3.4%) had minor infection in the form of yellowish slough that responded to simple measures at home. The results were satisfactory for the parents in (792) cases (99%). Eight cases developed phimosis (1%), only four cases required re-circumcision. 
Conclusion: plastibell device is a simple, safe and convenient option for circumcision. It is easily learned, less time 
consuming and having satisfactory outcome

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