Infant with swollen penis and apparent dysuria.

Area of Science:

• Pediatric Surgery
• Neonatal Care
• Urology

Background:

• Circumcision is a common elective procedure for male neonates.
• The Plastibell device is frequently used for neonatal circumcision.
• Potential complications include bleeding, infection, and device retention.

Observation:

• A 21-day-old male infant presented with a retained Plastibell device post-circumcision.
• Standard methods were insufficient for device removal.

Findings:

• A novel technique using a ring cutter was successfully employed to remove the retained Plastibell device.
• This method proved effective in a challenging clinical scenario.

Implications:

• Emergency physicians must recognize Plastibell ring retention as a potential complication.
• The described ring cutter technique offers a viable solution for managing retained devices.
• Awareness of this complication and its management is crucial for neonatal care providers.