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Circumcision With the Plastibell Technique: A Descriptive Case Series
Nisar Ahmed1, Zaka Ullah Jan1, Muhmmad D Yasin1
1General Surgery, Khyber Medical College, Peshawar, PAK.
The Plastibell technique for male circumcision (MC) is safe and effective in infants under six months. This study found few complications, with low rates of bleeding, edema, and adhesions, supporting its use.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- The Plastibell technique is a globally common method for infant male circumcision (MC).
- It is typically performed under local anesthesia.
- Previous studies have evaluated its outcomes worldwide.
Purpose of the Study:
- To describe the outcomes of male circumcision using the Plastibell technique.
- To evaluate the safety and complication rates of this procedure in infants.
Main Methods:
- A retrospective descriptive study was conducted from July 2013 to June 2021.
- Clinical records of 364 male infants under six months undergoing Plastibell circumcision were analyzed.
- Exclusion criteria included parental preference for other methods and pre-existing bleeding disorders.
Main Results:
- The mean operative time was 11.3 minutes, with the ring detaching in an average of 7.8 days.
- Primary hemorrhage occurred in one case (0.27%).
- Edema was observed in 20.8% of cases, and adhesions in 0.82%.
Conclusions:
- The Plastibell technique is a safe procedure for infant male circumcision.
- It demonstrates a low incidence of significant post-operative complications.
- The findings support the continued use of the Plastibell method for MC.
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