Volume 2, Issue 2 (6-2003)                   JRUMS 2003, 2(2): 68-73 | Back to browse issues page


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Fanai S, Musavi Naini S, Mehrvarz S. Plastibell and Conventional Circumcision in Infants: a Randomized Clinical Trial. JRUMS. 2003; 2 (2) :68-73
URL: http://journal.rums.ac.ir/article-1-3757-en.html

Abstract:   (595 Views)

Background: Conventional dissection suturing technique and Plastibell circumcision are the two most widely used methods of circumcision in Iran. We conducted a clinical trial to assess the complication, cosmetic results, and duration of the procedure using the two techniques.

Materials and Methods: 2185 infants under the age of one were circumcised at two hospital centers, from April 2000 to March 2003. The infants were randomized to one of two groups; group A, using the plastibell device (n=1085), and group B, using the conventional technique (n= 1100). All infants received dorsal nerve block with Lidocaine 2%.

The two groups were evaluated for complications and cosmetic results immediately follwing the operation and 4-10 days later. The parents were told to notify the surgeon if meatal stenosis occurs. Comparisons were made regarding the complications, cosmetic results, and duration of the procedure.

 Results:The incidence of bleeding in the plastibell group (A) was 3 infants (0.3%), significantly less than the convention group (B) which was 11 infants (1.0%)(p=0.030). In group A, local infection resulting in further surgery did not occur, but 3 infants (0.3%) in group B needed further surgery due to local infection (p=0.127). The Plastibell circumcision resulted in poor cosmetic results for 3 infants (0.3%) compared to 9 infants (0.8%) in the conventional group (p=0.076). The mean operation time (± SD) was shorter for Plastibell circumcision (4.08± 0.81 vs 18.13± 1.87 minutes).

Conclusion: We recommend circumcision for infants using the Plastibell technique, because of the results of this study which indicated less complications and shorter duratrion.

Keywords: Circumcision, Plastibell circumcision, Complications, Infants.

* Corresponding author tel: (021) 8033539

Journal of Rafsanjan University of Medical Sciences and Health Services, 2002, 2(2): 68-73.

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Type of Study: Applicable | Subject: Surgery
Received: 2017/04/9 | Accepted: 2017/04/9 | Published: 2017/04/9

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