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Year : 2018  |  Volume : 15  |  Issue : 3  |  Page : 123-125

Choosing an appropriate Plastibell size for infant circumcision

Department of Surgery, Division of Paediatric Surgery, University of Ilorin, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Correspondence Address:
Dr. Abdulrasheed A Nasir
Department of Surgery, Division of Paediatric Surgery and Urology, University of Ilorin Teaching Hospital, PMB 1459, Ilorin
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcls.jcls_90_17

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Background: The Plastibell technique is the most frequently used device due to its perceived “ease of use” by all categories of practitioners including nonqualified people like barbers and technicians. Nonetheless, Plastibell technique for circumcision is not without its problems. We aim to describe a simple and objective technique of choosing an appropriate Plastibell size for Plastibell circumcision. Technique and Methods: The circumference of the glans penis (C) is measured at the level of the glanular ridge. The diameter of the glans corresponding to the Plastibell size is determined using the formula πD = C. The glans diameter (D) equals 0.32C. This technique was used to choose Plastibell size for 25 consecutive infants in a pilot study. Results: The median age of the infants was 21 days. The median circumference of the glans was 4.1 cm, and the median size of the Plastibell used was 1.3. The median time taken by the device to fall off spontaneously after circumcision was 4 days. There was no complication recorded. Conclusions: This objective method of choosing the appropriate Plastibell size is easy and safe. It has the potential to reduce the complications of Plastibell circumcision.

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