PLASTIBELL CIRCUMCISION METHOD

Plastibell Circumcision Method is the most popular and common method of circumcision which is highly recommended and suitable for infants and young boys.

The Plastibell is a clear plastic ring with handle and has a deep furrow running all the way around it. It provides a “no scalpel” circumcision technique in that the foreskin is not cut off the penis during the procedure, but at the end of the procedure. The adhesions between glans and foreskin are divided with an artery forceps. The foreskin is then cut longitudinally starting at the distal end dorsally to allow it to be retracted so that the glans is exposed . The appropriate size of Plastibell (comes in 6 sizes) is chosen and placed on the head. The foreskin is then pulled over the ring and a ligature is tied firmly around the foreskin, crushing the skin against the groove in the Plastibell. The handle is broken off at the end of the procedure and finally the excess skin protruding beyond the ring is then trimmed off.

The entire procedure takes about 5 to 10 minutes, depending on the experience and skill of the operator. The compression against the underlying plastic shield causes the foreskin tissue to die off and thus the ring falls off in 3 to 14 days leaving a smooth circumferential wound that will heal over the following week.

Chemical (Silver nitrate) or electro-cautery (bipolar diathermy) is used to control minor bleeding during the procedure.