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Acquired phimosis after plastibell circumcision: a preventable consequence.

E A Kidger¹, N Haider, A Qazi

¹Leeds Teaching Hospitals NHS Trust, UK.

Annals of the Royal College of Surgeons of England

|September 5, 2012

Summary

Plastibell circumcision is safe for religious and cultural procedures. Early recognition and management of slipped rings prevent complications like iatrogenic phimosis, avoiding further procedures.

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Area of Science:

Pediatric Surgery
Urology

Background:

The Plastibell device is commonly used for religious and cultural circumcisions.
Iatrogenic phimosis is a potential complication that requires attention.

Purpose of the Study:

To evaluate the outcomes of Plastibell circumcision in a community setting.
To highlight the recognition and management of iatrogenic phimosis following Plastibell circumcision.

Main Methods:

A retrospective study analyzed outcomes of Plastibell circumcisions performed by trained pediatric surgeons.
The study assessed complications related to slipped Plastibell rings and their management.

Main Results:

Five cases of slipped Plastibell rings were identified in 560 circumcisions.

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Three patients developed acquired phimosis; early intervention in two cases prevented further complications and avoided repeat surgeries.

Conclusions:

Plastibell circumcision is a safe and effective procedure in community settings.
Prompt detection and management of minor bleeding from slipped rings are crucial.
Early intervention can prevent acquired phimosis and reduce parental anxiety.