Neonatal plastibell circumcision: does the thread type matter? a prospective randomized study

Altokhais, Tariq; Elsarrag, Alaa; Khan, Saifullah; Alshehri, Abdullah; Albassam, A.A.

doi:10.1016/j.jpurol.2019.07.015

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…As shown in our results, we found no significant difference in both groups in terms of complications. In our observation, it does not depend on type of suture material used as concluded by Altokhais et al 24 Simpson et al 25 concluded that minimum age for doing circumcision is 12 hours and above otherwise it can cause serious problems. However, in our study we have done circumcision soon after birth without having any serious issues.…”

Section: Discussionsupporting

confidence: 70%

Comparative Study of Early Neonatal Versus Late Circumcision in Terms of Post Operative Complications

Abbas

Haq

Rehman

2022

Ann Pak Inst Med Sci

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Objective: The objective of this study was to compare early neonatal versus late circumcision by plastibell in terms of postoperative complications. Methodology: It was a comparative study conducted at Department of Pediatric Surgery at Shifa International Hospital Islamabad from January 2018 to November 2019. The present study is a prospective analytical review of 482 uncircumcised patients who presented to the Shifa International Hospital, Islamabad. The variables that were observed in this study were age, mode of presentation, and complications. Patients divided into 2 groups. In Group A circumcision was done within the first 3 days of life and in Group B circumcision was done from in conventional manner after one week of life till 3 months of age. Results: Total 482 patients were presented during this study period, out of which 70 belong to Group A and 412 belong to Group B. In Group A, bell retraction was seen in 4 patients (5.71%), infection of glans in the form of flakes of pus was seen in 1 patient (1.42%), delayed fall was seen in 2 patients (2.85%) and meatal ulcer was seen in 1 patient (1.42%). In Group B, bell retraction was seen in 8 patients (1.94%), infection in 4 patients (0.97%) and delayed fall in 4 patients (0.97%). Complications like bleeding, over/under circumcision, smegmal cyst, meatal stenosis and urethrocutaneous fistula were not seen in any group. Conclusion: We conclude that neonatal circumcision done within first 3 days of life or even soon after birth is safe and has no significant difference of complications as compared to patients in whom circumcision is done at a later stage.

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Section: Discussionsupporting

confidence: 70%

Comparative Study of Early Neonatal Versus Late Circumcision in Terms of Post Operative Complications

Abbas

Haq

Rehman

2022

Ann Pak Inst Med Sci

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“…The long period of a non-separated ring is associated with an increased risk of proximal migration. A study performed by Altokhais et al(2019), on 200 patients found that those who were circumcised using Plastibell tied by Polypropylene 0 instead of the classic cotton thread resulted in their Plastibell falling faster [10]. This study will open the door for further studies to examine the best types and sizes of threads used in Plastibell circumcision.…”

Section: Discussionmentioning

confidence: 92%

Proximal migration of Plastibell circumcision: two case reports and review of the literature

et al. 2022

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Background Male circumcision is one of the oldest and most commonly performed surgical procedures in the world; in fact, one of every 3 males in the world is circumcised. Plastibell circumcision is the commonest procedure performed worldwide with higher rates of satisfaction and lower rates of complications. Case presentation We present two cases, 4 and 5 months old with proximal migration of Plastibell ring with penile incarcerations that were managed successfully. We aim to highlight the necessary precautions needed to avoid serious complications after a minor surgical procedure. Conclusions Plastibell circumcision is a minor surgical procedure that is underestimated with the potential for major and serious complications. The implementation of the law against the practice of non-professional individuals, standardization of the procedure, and improvement of communication are highly recommended to avoid unnecessary and serious complications. Plastibell ring circumcision still needs further studies to examine ring antimigration, re-designing, and the best types and sizes of threads used. Lastly, studies are also needed to determine a cost-effective routine follow-up visit post-Plastibell circumcision procedures.

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“…One study reported days with a range of 3 to 15 days [ 16 ]. Altokhais et al have concluded that the ring is easy to fall off with polypropylene size 0 suture [ 17 ]. In our series, the time to ring fall-off was 7.8±3.04 days with the use of braided nylon thread.…”

Section: Discussionmentioning

confidence: 99%

Circumcision With the Plastibell Technique: A Descriptive Case Series

Ahmed¹,

Jan²,

Yasin³

et al. 2022

Cureus

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BackgroundThe Plastibell technique is one of the most commonly performed procedures used for male circumcision (MC) and is in practice throughout the world. It is a procedure done under local anaesthesia, mostly on infants. The results of the technique have been evaluated in many studies throughout the world. We have done a series of cases and present the results of our retrospective descriptive study. The objective of this study was to describe the outcomes of circumcision performed via the Plastibell technique. Materials and methodsThis retrospective descriptive study was conducted at the Surgical A Unit, Khyber Teaching Hospital, Peshawar from July 2013 to June 2021. Clinical records of the infants who underwent circumcision were collected. Infants under the age of six months brought by their parents were included in the study. Infants whose parents requested methods other than Plastibell and infants with bleeding disorders or a family history of such disorders were excluded from the study. The indication for circumcision was for religious reasons in all cases. Post-operative complications were noted in all cases. ResultsA total of 364 male babies under the age of six months (mean age 43.5±15 days) underwent circumcision with the Plastibell technique. The mean operative time was 11.3±3.7 minutes. The time it took for the ring to fall off was 7.8±3.04 days. In one case, primary haemorrhage required exploration and diathermy of the bleeder. Oedema occurred in 76(20.8%) of the babies. Adhesions of the foreskin with the glans were formed in 3(0.82%) cases. ConclusionMale circumcision is one of the oldest surgical procedures performed. Several methods are in practise in this regard. The results of our study showed that circumcision with the Plastibell method is safe and has fewer side effects.

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Neonatal plastibell circumcision: does the thread type matter? a prospective randomized study

Cited by 4 publications

References 9 publications

Comparative Study of Early Neonatal Versus Late Circumcision in Terms of Post Operative Complications

Comparative Study of Early Neonatal Versus Late Circumcision in Terms of Post Operative Complications

Proximal migration of Plastibell circumcision: two case reports and review of the literature

Circumcision With the Plastibell Technique: A Descriptive Case Series

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