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Circumcision: experience at a private hospital in jos, Nigeria
1Department of Surgery, University of Jos and Solat Women Hospital, Jos, Nigeria.
Insights
The PlastiBell device is safe for infant circumcisions in children under 42 days old. This study found high parental satisfaction and minimal complications, supporting its use in pediatric procedures.
Area of Science:
- Pediatric Surgery
- Urology
- Public Health
Background:
- Circumcision is commonly performed on children for religious and cultural reasons.
- The PlastiBell device has been utilized for decades, but associated complications exist.
- Understanding the safety profile of PlastiBell is crucial for pediatric care.
Purpose of the Study:
- To evaluate the safety and acceptability of the PlastiBell device for pediatric circumcisions.
- To assess the incidence of complications associated with PlastiBell device use.
- To determine parental satisfaction with the PlastiBell circumcision procedure.
Main Methods:
- A prospective study of 50 consecutive pediatric patients undergoing circumcision.
- Data collection included patient age, PlastiBell device size, and complication incidence.
- Parental acceptability of the circumcision outcome was documented.
Main Results:
- All infants under 42 days old were circumcised using the PlastiBell device.
- One case of hemorrhage occurred due to device slippage; no other significant complications were reported.
- Maternal satisfaction with the circumcision outcome was high, at 98%.
Conclusions:
- The PlastiBell device demonstrates a favorable safety profile for circumcisions in neonates and infants under 42 days old.
- High parental satisfaction suggests good cosmetic and functional outcomes.
- PlastiBell device offers a viable option for safe pediatric circumcision when used appropriately.
Background:
Most circumcisions in our environment are carried out in children for religious and cultural reasons. The PlastiBell device has been used for several decades, though some complications have been associated with its use.
Aims And Objectives:
This study examines the safety and acceptability of the PlastiBell device, which was used in circumcision in the majority of patients studied.
Materials And Methods:
Fifty consecutive patients, who had circumcision at a private medical facility in Jos, Nigeria, over a 2 year period, were reported. Their ages, method of circumcision, size of PlastiBell device used, incidence of complications and acceptability of procedure to parents were documented.
Results:
In this study, all patients below 42 days old had their circumcision done with the PlastiBell device. Complications seen with this device included hemorrhage in one patient following a slipped out device. In 49 (98%) of the patients, the mothers were satisfied with the outcome of the procedures.
Conclusion:
The PlastiBell device can be safely used for circumcisions in children below 42 days old.
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