Related Experiment Video
Updated: Mar 21, 2026
Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Plastibell Device Circumcision versus Bone Cutter Technique in terms of Operative Outcomes and Parent's Satisfaction
Tahir Mehmood1, Hammad Azam2, Muhammad Tariq3
1Tahir Mehmood, FCPS General Surgery. Senior Registrar Pediatric Surgery, Sheikh Zayed Medical College and Hospital, Rahim Yaar Khan, Pakistan.
Insights
The Plastibell device offers a safer circumcision method for infants, resulting in fewer complications and higher parental satisfaction compared to the bone cutter technique. This study highlights its benefits for infant surgical procedures.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Circumcision is a common procedure in infants.
- Various techniques exist, each with potential complications and varying parental acceptance.
Purpose of the Study:
- To compare complication rates between Plastibell and bone cutter circumcision.
- To assess parental concerns and satisfaction with the Plastibell device method.
Main Methods:
- A prospective study of 200 infants (<6 months) divided into Plastibell and bone cutter groups.
- Data analysis using SPSS with independent sample t-test and chi-square test.
- Comparison of complication incidence, operation time, bleeding, pain scores, and parental satisfaction.
Main Results:
- Plastibell circumcision showed significantly less operation time, bleeding, and pain (P<0.0001).
- Lower complication rates (1.0% vs 3.0%) and cosmetic displeasure (1% vs 4%) were observed with Plastibell.
- Parental satisfaction was significantly higher with Plastibell (98% vs 87%, P=0.003).
Conclusions:
- Plastibell device circumcision is a safer technique with reduced complications.
- The Plastibell method is associated with the highest level of parental satisfaction.
Objective:
To compare the rate of complications of Plastibell and bone cutter circumcision technique and recognition of top worries and satisfaction rate in the mind of parents before and after the procedure of Plastibell device (PD) circumcision in infants less than 6 months of age.
Methods:
It was a descriptive prospective study conducted at department of surgery Sheikh Zayed Hospital, Rahim Yar Khan. Two hundred parents of infants of less than six months of age were recruited for this study. Infants were divided into two equal groups. Group I included Plastibell circumcision technique and Group II included Bone Cutter Circumcision technique. Data was analyzed using SPSS Version 17. Independent sample t-test and chi-square test was used to compare quantitative and qualitative variables respectively. P-value <0.05 was taken as significant difference.
Results:
Total number of two hundred infants were included in this study. Most common worries of parents about Plastibell Device circumcision were; fear of fever (42.0%). Fear of pain and bleeding (66.0%). Plastibell Device method was associated with less operation time and bleeding as compared to bone cutter method (P-value <0.0001 and <0.0001 respectively). Incidence of complications other than bleeding and infection was 3.0% in bone cutter method and 1.0% in Plastibell device method. Pain score was significantly less in plastibell device group (p-value <0.0001). Post-operatively, 98% parents showed complete procedural satisfaction in Plastibell group versus 87% parents in bone cutter one month after surgery (P-value 0.003). About 4% parents in bone cutter method group showed cosmetic displeasure versus only 1% parents in plastibell device group.
Conclusion:
The study concluded that Plastibell Device circumcision is a safer technique for circumcision and is associated with highest level of parent's satisfaction.
