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    • Plastibell Versus Bone Cutting Techniques in Neonatal and Infantile Circumcision: A Retrospective Study and Review of Outcomes

    Ahmed M.S.M. Marzouk
    Faculty of medicine, Cairo University

    Introduction and Aim of Study: For thousands of years the practice of male circumcision is done based on religious, traditional and medical indications, Bone cutting method is a popular procedure despite the possible related complications, Plastibell technique is an alternative technique with the use of a special device, in this study we compared both techniques and outcomes. Methods: A retrospective analysis of 350 infants who had circumcision were classified into two groups plastibell group (Group A) and Bone cutting group (Group B), a comparative analysis regarding operative duration, anathesia used and post-operative complications. Results: 182 infants (93 less than 28 days and 89 were 28 days or older) in (Group A), and 168 (102 less than 28 days and 66 were 28 days or older) in (Group B), operative duration in (Group A) was 3-8 minutes (Mean 4.76, SD 1.20), 5 -12 minutes (Mean 6.83, SD 1.68) in (Group B). local anathesia cream only was used in 111 infants (61%) in (Group A) and 90 infants (53%) while addition of penile block was needed in 71 infants (39%) in (Group A) and 78 infants (47%) in (Group B) (P value < 0.01). postoperative complications penile edema in 53 (29.1%) and 34 (20.2%), bleeding in 3 (1.6%) and 15 (8.9%) in groups A and B respectively (P value <0.01). 2 infants in Group B had superficial injuries and 2 cases (1.6%) had retention of the plastibell which needed manual removal (NS). Conclusion: Plastibell technique for circumcision is a safe and easy procedure with less operative duration and post-operative complications when compared with conventional bone cutting technique. 

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