A Prospective Study of Plastibell Ring Circumcision Cases Performed in Private Clinics
DOI:
https://doi.org/10.56981/Keywords:
Complication, Circumcision, Indication, Plastibell, SafetyAbstract
Circumcision is one of the oldest and most frequently performed surgical procedures worldwide, with several available techniques including the flap method, Gomco clamp, Smartklamp, and Plastibell, which operates on the clamping principle. This prospective study was conducted in private clinics in Baghdad and Ajman over a three-year period, during which parents were counseled about the procedure and children were assessed for conditions that might affect outcomes. A total of 200 neonates, infants, and children aged one day to three years were enrolled, with the majority (60%) undergoing circumcision within the first 30 days of life. The indication was religious in all cases (100%), and Plastibell sizes ranged from 1.1 to 1.5. Complications were observed in 38 children (19%), the most common being retained Plastibell rings and preputial edema, each affecting 4% of cases. Overall, the findings indicate that Plastibell circumcision is a safe technique with minimal complications when performed by experienced practitioners, making it a good alternative to the open surgical method.References
1. Palit V, Menebhi DK, Taylor I, Young M, Elmasry Y, Shah T. A unique service in UK delivering Plastibell circumcision: review of 9-year results. Pediatr Surg Int. 2007;23(1):45-8.
2. Alanis MC, Lucidi RS. Neonatal circumcision: a review of the world’s oldest and most controversial operation. Obstet Gynecol Surv. 2004;59(5):379-95.
3. Ceylan K, Burhan K, Yilmaz Y, Can S, Kuş A, Mustafa G. Severe complications of circumcision: an analysis of 48 cases. J Pediatr Urol. 2007;3(1):32-5.
4. Mousavi SA, Salehifar E. Circumcision complications associated with the Plastibell device and conventional dissection surgery: a trial of 586 infants of ages up to 12 months. Adv Urol. 2008;2008:606123.
5. Al-Marhoon MS, Jaboub SM. Plastibell circumcision: how safe is it? Sultan Qaboos Univ Med J. 2006;6(1):17-20.
6. Bioku M, Ikuerowo SO, Igwilo C, Omisanjo OA, Adewumi O, Esho JO. Plastibell circumcision of 2,276 male infants: a multi-centre study. Pan Afr Med J. 2016;23:35.
7. Drain PK, Halperin DT, Hughes JP, Klausner JD, Bailey RC. Male circumcision, religion, and infectious diseases: an ecologic analysis of 118 developing countries. BMC Infect Dis. 2006;6:172.
8. Singh-Grewal D, Macdessi J, Craig J. Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies. Arch Dis Child. 2005;90(8):853-8.
9. Malone P, Steinbrecher H. Medical aspects of male circumcision. BMJ. 2007;335(7631):1206-9.
10. Razzaq S, Mehmood MS, Tahir TH, Masood T, Ghaffar S. Safety of the Plastibell circumcision in neonates, infants, and older children. Int J Health Sci (Qassim). 2018;12(5):10-3.
11. Talini C, Antunes LA, Carvalho BCN, Schultz KL, Del Valle MHCP, Aranha Junior AA, et al. Circumcision: postoperative complications that required reoperation. Einstein (Sao Paulo). 2018;16(3):eAO4241.
12. Moosa FA, Khan FW, Rao MH. Comparison of complications of circumcision by Plastibell device technique in male neonates and infants. J Pak Med Assoc. 2010;60(8):664-7.
13. Ekwunife OH, Ugwu JO, Okoli CC, Modekwe VI, Osuigwe AN. Parental circumcision preferences and early outcome of Plastibell circumcision in a Nigerian tertiary hospital. Afr J Paediatr Surg. 2015;12(4):251-6.
14. Fraser IA, Allen MJ, Bagshaw PF, Johnstone M. A randomized trial to assess childhood circumcision with the Plastibell device compared to a conventional dissection technique. Br J Surg. 1981;68(8):593-5.
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