Bawazir Osama A, Alsaiari Wejdan Rubayyi S
Department of Surgery, Faculty of Medicine in Umm Al-Qura University, Makkah, Saudi Arabia.
Department of Surgery, King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi Arabia.
Urol Ann. 2020 Oct-Dec;12(4):347-351. doi: 10.4103/UA.UA_146_19. Epub 2020 Oct 15.
The Plastibell circumcision technique has gained popularity worldwide. It has a low bleeding risk which makes it suitable for a vulnerable population and in late circumcision. However, several problems resulting from prolonged retention of the Plastibell ring were reported.
The objectives of this study were to assess the outcomes of circumcision performed using Plastibell devices, report ring-related complications, and compare the complications of the technique between neonates and infants.
This was a retrospective cohort study that was conducted in a total of 989 male neonates and infants who had Plastibell circumcision performed by a single surgeon between June 2006 and February 2018. Postoperative complications were reported and compared between the two age groups. The indications of the Plastibell technique were religious in 988 patients and urinary tract infection in 1 patient.
During the study period, Plastibell circumcision was performed in 633 neonates and 356 infants. The average ages of neonates and infants were 14 ± 2 days and 3 ± 0.5 months, respectively. Complications developed in 89 cases, 4.4% in neonates and 17% in infants ( < 0.001). The retained ring was the most common complication in 46 cases (4.6%), followed by excess skin in 21 cases (2%). Bleeding occurred in 10 cases (1%), infection in 7 cases (0.7%), and hematoma in 2 cases (0.2%).
Complications of Plastibell circumcision are significantly higher in infants than in neonates, and ring retention is the most common complication in both the groups. However, the risk of severe hemorrhage is low making it a good option for infants in the outpatient setting.
Plastibell包皮环切术在全球范围内广受欢迎。其出血风险低，适用于弱势群体及大龄儿童包皮环切术。然而，有报道称Plastibell环长时间留存会引发一些问题。
本研究旨在评估使用Plastibell器械进行包皮环切术的效果，报告与环相关的并发症，并比较新生儿和婴儿该技术的并发症情况。
这是一项回顾性队列研究，共纳入989例男性新生儿和婴儿，于2006年6月至2018年2月由同一位外科医生进行Plastibell包皮环切术。报告并比较两个年龄组的术后并发症。Plastibell技术的适应证中，988例为宗教原因，1例为尿路感染。
研究期间，633例新生儿和356例婴儿接受了Plastibell包皮环切术。新生儿和婴儿的平均年龄分别为14±2天和3±0.5个月。89例出现并发症，新生儿为4.4%，婴儿为17%（P<0.001）。环留存是最常见的并发症，共46例（4.6%），其次是多余皮肤21例（2%）。出血10例（1%），感染7例（0.7%），血肿2例（0.2%）。
Plastibell包皮环切术的并发症在婴儿中显著高于新生儿，环留存是两组中最常见的并发症。然而，严重出血风险低，使其成为门诊婴儿的一个不错选择。
