What is the Plastibell technique for circumcision?
The Plastibell technique involves placing a plastic ring between the head of the penis and the foreskin. A string is tied tightly around the foreskin crushing the skin against the ring. The excess skin is removed. The ring stays comfortably in place for 7-10 days before spontaneously falling off.
Does the Plastibell method hurt?
Neither Mogen nor PlastiBell was associated with greater pain per 3-minute time period, but the PlastiBell technique on average took nearly twice as long as the Mogen procedure (20 vs 12 minutes). We judged that 60% of the infants had pain or discomfort associated with the procedure that was excessive.
Is Plastibell circumcision better?
Conclusion. Plastibell circumcision has the advantage of being faster and cheaper than freehand circumcision. Complications were more in the Plastibell group, and they were found to be age related.
How common is Plastibell circumcision?
Plastibell circumcision is the most common technique used for neonatal circumcision in outpatient clinics. The rate of reported Plastibell complications ranges from (3–11%), and is comparable to the rate reported for infants circumcised by the Gomco and Mogen techniques [7], [8], [9], [10], [11].
How does the Plastibell fall off?
The foreskin is stretched over the plastic ring, and it’s secured with a suture (sterile string) to stop blood flow. The plastic ring remains on the penis until foreskin falls off naturally in 7-10 days. During this time, your son’s foreskin may darken around the ring.
What to do after the Plastibell falls off?
After the Plastibell has fallen off, apply petroleum jelly to the entire tip of penis. Gently retract the remaining skin and put petroleum jelly into the groove just beneath the tip. You may need to use a Q-tip to do this. Petroleum jelly will help your child’s penis heal properly.
Should I remove Plastibell?
If a Plastibell (plastic ring) was used, it should fall off by 14 days. 10 days is the average. While it can’t fall off too early, pulling it off can cause bleeding.
How is Plastibell removed?
An orthopedic ring cutter was successfully used to remove the ring in clinic, with no sequelae. This technique is simple and the instrumental design virtually eliminates the risk of further trauma to the penis. We propose use of the ring cutter as a safe, reliable approach to remove a retained Plastibell ring.
How long should a Plastibell stay on?
What happens if Plastibell doesn’t fall off?
Call your doctor if the plastibell hasn’t fallen off from eight days to two weeks or if it has slipped down the shaft and seems to be constricting it. Don’t use diaper wipes as they may sting. Only use water, and be gentle.