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Plastibell circumcision: Comparison between neonates and infants
Osama A Bawazir1,2, Wejdan Rubayyi S Alsaiari3
1Department of Surgery, Faculty of Medicine in Umm Al-Qura University, Makkah, Saudi Arabia.
Urology Annals
|March 29, 2021
Summary
Plastibell circumcision complications are higher in infants than neonates, with retained rings being most common. This method remains a low-hemorrhage option for outpatient infant circumcisions.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- The Plastibell circumcision technique is popular globally due to low bleeding risk, suitable for vulnerable populations and late circumcisions.
- Prolonged retention of the Plastibell ring has been associated with complications.
Purpose of the Study:
- To assess outcomes of Plastibell circumcision.
- To report ring-related complications.
- To compare complications between neonates and infants.
Main Methods:
- Retrospective cohort study of 989 male neonates and infants.
- Plastibell circumcision performed by a single surgeon (June 2006-February 2018).
- Postoperative complications analyzed and compared between age groups.
Main Results:
- Complications occurred in 4.4% of neonates and 17% of infants (P < 0.001).
- Retained ring (4.6%) was the most frequent complication, followed by excess skin (2%).
- Bleeding (1%), infection (0.7%), and hematoma (0.2%) were also reported.
Conclusions:
- Plastibell circumcision shows significantly higher complication rates in infants compared to neonates.
- Ring retention is the primary complication in both groups.
- Low risk of severe hemorrhage makes it a viable outpatient option for infant circumcision.
