Plastibell circumcision: A minor surgical procedure of major importance

Samad, Abdul; Khanzada, Tariq Wahab; Kumar, Basant

doi:10.1016/j.jpurol.2009.05.006

Cited by 29 publications

(26 citation statements)

References 16 publications

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“…As younger the boys, the shorter the time for the plastic device to fall off (r = 0.367) (p < 0.001) (Figure-1). Similarly, when divided into two groups, we observed that in those less than five years of age, the median time was three days lower than in older children, respectively, 14 [12][13][14][15][16][17][18] and 17 [14][15][16][17][18][19][20] days (p = 0.011). In the other hand, the diameters of the plastic device were not a predictor for earlier fall (p = 0.484) (Figure-2).…”

Section: Resultsmentioning

confidence: 77%

“…In another study by Sörensen & Sörensen, 1988, hemorrhage was present in 5% while dysuria was described in up to 56% (27). A low incidence of immediate complications was also reported by Samad et al, 2010, with 0.2% of bleeding and 0.2% of urinary retention (15). Bleeding was also the most common early complication with only 3% of children in the study by Palit et al, 2007 (21).…”

Section: Size Of Plastic Device Agementioning

confidence: 64%

“…In our country, neonate circumcision is rarely indicated and most of the children are operated due to medical indications or willing of the parents, usually after they are off diapers, therefore we circumcise our children in an older age. The mean age in our group of patients was 70.86 months (5.9 years of age), corresponding to an older age compared to the majority of studies published on plastic device circumcision (9,11,15,21,22). In the study of Marwat et al, 2010 (22), 83% of the children were younger than one year of age and had fewer complications than the older children (between 1 and 5 years…”

Section: Discussionmentioning

confidence: 82%

“…We found few reports on the time for separation of the plastic® device and none regarding its relationship to the age of the child and found no reports correlating the size of the glans and diameter of the device. Recently, Samad et al, 2010, published a series of circumcisions with Plastibell® device showing low complication rates (15).…”

Section: Division Of Urology Department Of Surgery Federal Universitmentioning

confidence: 99%

“…Only 4.2% percent of the boys complain of greater pain during the process of falling off of the plastic device and we had only one Plastibell® retention, that was removed manually and as an office procedure, different from the majority of series in which retention of the device was the most frequent reported complication (11,15,21,22,26). These findings go against those contrary to the use of plastic device in older children, whose arguments are that it has a large rate of impactions, which was not found in our study with patients up to 12 years of age.…”

Section: Size Of Plastic Device Agementioning

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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