Introduction: the
World Health Organization's manual on male circumcision listed Plastibell technique
as a well-proven paediatric method with respect to the results and complications.
Although, literatures abound on its wide acceptability, there are few multi- centered
reports from this environment. The objective was to evaluate the cases of infant
circumcision by Plastibell device from two medical institutions.
Methods: all
consecutive infants who had Classical Plastibell Circumcision (PC) at the Federal
Staff Medical Centre, Abuja and the Lagos State University Teaching Hospital, Ikeja
between February 2011 and June 2015 were included in this cross-sectional study.
The procedures were performed by surgical registrars and medical officers after
ninety minutes of topical anesthesia to the penis. Data harvested from the standard
proforma were analysed using Statistical Package for Social Science 20.0 for window.
Results: a
total of 2,276 infants had classical PC within the study period. Their ages at circumcision
ranged from 4 days to 3 months with a mean age of 17 days. Majority of the boys
were circumcised at second week of life (n=1,394,61.2%). All the cases were performed
for religious (53%) and cultural (47%)reasons. The most common Plastibell size deployed
was 1.3cm (n=1,040, 45.7%) while 1.6cm was the least commonly used ring (n=10, 0.4%).
The mean time for device to fall-off was 6 days (range 4- 12 days). There was no
correlation between the age at circumcision and Plastibell size. We recorded an
overall complication rate of 1.1% with postoperative bleeding leading the pack (n=12,
48%). No case of urethrocutaneous fistula was seen. We detected 17 cases (0.7%)
of distal hypospadias in whom circumcisions were postponed till the time of hypospadias
repairs.
Conclusion: the
main indication for infant circumcision in our environment was religious. The PC
has good safety profile with few easily correctable early complications. Detailed
attention to placement of ligature, selection of appropriate Plastibell size and
adequate parental education are key to preventing post-procedure mishaps.
Below: Plastibell size deployed
Full article at: http://goo.gl/p9316L
By: Bioku Muftau Jimoh1,&, Ikuerowo Stephen
Odunayo2, Igwilo Chinwe3, Omisanjo Olufunmilade
Akinfolarin2, Adewumi Oluwafemi3, Esho Julius Olusanmi2
1Department of Surgery, Federal Staff Medical
Centre, Abuja, 2Urology
Unit, Department of Surgery, Lagos State University Teaching Hospital, Ikeja, 3Department of Obstetrics and
Gynecology, Federal Staff Medical Centre, Abuja
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