Outcome of Plastibell Versus Open Technique For Circumcision In Children

Shafaatullah, Bilal Suria, Sadaf Iqbal

Abstract

Objective

To compare the complications of Plastibell technique versus open technique for circumcision.

Study design

Cross sectional study.

Place & Duration of study

Department of Plastic Surgery, Urology and General Surgery, Baqai University Hospital Karachi, from  January 2016 to December 2017.

Methodology

All male babies from neonatal age to three year were included in the study. Babies were randomly divided equally into two groups. In one group circumcision was performed by open conventional technique (n=60) and in the second group circumcision was performed with plastibell method (n=60). Babies having bleeding diathesis, jaundice, hypospadias, epispadias and congenital chordee were excluded. After circumcision, these babies were followed up for complications over a period of 12 weeks postoperatively. Complications reported were entered into the software and complication rate of open technique and plastibell technique was compared. Analysis was performed by SPSS version 21. Chi-square as test of significance was applied to compare the two groups and p < 0.05 was considered as statistically significant.

Results

A total of 120 babies underwent for circumcision. The most common complication by open technique was mild pain in 16.6% (n=10) of the patients, followed by bleeding which occurred in 15% (n=9) patients. However, with plastibell technique the most common complication occurred was mild pain in 10% of the patients.

Conclusions

Plastibell technique is a safe and preferable method of circumcision as it has less number of complications as compared to the conventional dissection method.

Key words

Circumcision, Postoperative complications, Plastibell , Open technique.