Male circumcision: a review of the evidence

Hirji, Hassan; Charlton, Rodger; Sarmah, S. C.

doi:10.1016/j.jmhg.2005.01.009

Cited by 22 publications

(24 citation statements)

References 60 publications

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“…medical reasons, it is one of the most frequently performed surgery around the world (6). Circumcision is one of the oldest surgical procedures performed today and in the majority of time done in younger children.…”

Section: Division Of Urology Department Of Surgery Federal Universitmentioning

confidence: 99%

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A prospective evaluation of plastibell® circumcision in older children

et al. 2013

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Introduction and Objective:Circumcision is one of the oldest surgical procedures and one of the most frequently performed worldwide. It can be done by many different techniques. This prospective series presents the results of Plastibell® circumcision in children older than 2 years of age, evaluating surgical duration, immediate and late complications, time for plastic device separation and factors associated with it. Materials and Methods: We prospectively analyzed 119 children submitted to Plastic Device Circumcision with Plastibell® by only one surgeon from December 2009 to June 2011. In all cases the surgery was done under general anesthesia associated with dorsal penile nerve block. Before surgery length of the penis and latero-lateral diameter of the glans were measured. Surgical duration, time of Plastibell® separation and use of analgesic medication in the post-operative period were evaluated. Patients were followed on days 15, 45, 90 and 120 after surgery. Results: Age at surgery varied from 2 to 12.5 (5.9 ± 2.9) years old. Mean surgical time was 3.7 ± 2.0 minutes (1.9 to 9 minutes). Time for plastic device separation ranged from 6 to 26 days (mean: 16 ± 4.2 days), being 14.8 days for children younger than 5 years of age and 17.4 days for those older than 5 years of age (p < 0.0001). The diameter of the Plastibell® does not interfered in separations time (p = 0,484). Late complications occurred in 32 (26.8%) subjects, being the great majority of low clinical significance, especially prepucial adherences, edema of the mucosa and discrete hypertrophy of the scar, all resolving with clinical treatment. One patient still using diaper had meatus stenosis and in one case the Plastibell® device stayed between the glans and the prepuce and needed to be removed manually. Conclusions: Circumcision using a plastic device is a safe, quick and an easy technique with low complications, that when occur are of low clinical importance and of easy resolution. The mean time for the device to fall is shorter in children under 6 years of age and it is not influenced by the diameter of the device.

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Section: Division Of Urology Department Of Surgery Federal Universitmentioning

confidence: 99%

“…Besides dissection surgery and prepucialplasty, many devices have been used, such as Gomco Clamp, Mogen Clamp and plastic devices (6), and recently a novel plastic clamp have been described (7). The first two are used more often for neonates.…”

Section: Division Of Urology Department Of Surgery Federal Universitmentioning

confidence: 99%

A prospective evaluation of plastibell® circumcision in older children

et al. 2013

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“…Circumcision is one of the oldest and most common elective surgical procedures performed with approximately one-third of males aged 15 years and over being circumcised worldwide [1,3]. Male circumcision is performed for various therapeutic indications as well as both cultural and religious reasons.…”

Section: Discussionmentioning

confidence: 99%

“…It is one of the most common surgical procedures performed all around the world [1]. Plastibell® device is a popular method used to perform circumcisions, especially in a surgical outpatient or community setting.…”

Section: Introductionmentioning

confidence: 99%

“…We report a case of foreign body granuloma formation following Plastibell ® circumcision, a rare complication that has not previously been reported. Foreign body granulomas are usually a reaction to exogenous materials, which have a non-immune mechanism [1]. Microscopically; foreign body granuloma to suture material (nylon, silk) contains multinucleated giant cells, with haphazardly arranged nuclei.…”

Section: Introductionmentioning

confidence: 99%

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A Case of foreign body granuloma after Plastibell® circumcision

Jayaratne¹,

Zaghal²,

Weir³

et al. 2018

j-pucr

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A B S T R A C TMale circumcision is one of the most commonly performed surgical procedures and the Plastibell® device is a popular method used to perform circumcisions in neonates and young children. We report a case of a 9-year-old otherwise healthy boy who developed foreign body granulomas following Plastibell ® circumcision which was carried out in the community by a medically trained practitioner. His post-operative course was complicated by a retained Plastibell ® ring and development of multiple non-healing wounds and granulomas. This patient underwent a semi-elective examination under general anesthesia, wound exploration and re-do modified circumcision. At 4 month follow up the wound was well healed without scarring and the patient reported a normal single straight stream urinary flow.

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