Abstract
Conventional dissection surgery (CDS) or using the Plastibell device (PD) is the method most frequently employed for circumcision. The aim of this study was to evaluate two methods in terms of the incidence of complications in infants of ages up to 12 months. In a prospective study, 586 infants equal to or less than 12 months were studied from 2002 to 2008, and complications between the two groups were assessed. The overall rates of complications in CDS and PD groups were 1.95% and 7.08%, respectively. In each group, the rate of complications was not different among children who had a normal weight, compared to those of a lower or upper (10%) weight. There was a significant positive correlation between the age and weight of subjects within the time of ring separation (P < .001). The results of this study suggest the PD method for neonates and low-weight infants with thin prepuce and the CDS for other infants.
Highlights
Male circumcision has been performed for more than 5000 years [1] as a way to remove the redundant foreskin in order to expose the glands
The benefit of circumcision has been described in numerous studies, such as in the reduction risk of penile cancer [2], cancer of the cervix uteri [4, 5], urinary tract infections (UTIs) [6, 7], sexually transmitted diseases (STDs), and lower HIV prevalence [2, 6]
There are many procedures for circumcision; conventional dissection surgery (CDS) or using the Plastibell device (PD) is one of the methods most frequently employed for circumcision
Summary
Male circumcision has been performed for more than 5000 years [1] as a way to remove the redundant foreskin in order to expose the glands. About 25% of the total male population are circumcized, and circumcision remains one of the most common operations performed all over the world [2]. The technique of choice remains controversial as we found only two published prospective randomized trials of circumcision in children, comparing the PD to a conventional dissection technique [8, 9]. These trials were performed 14 to 27 years ago, in which most children were older than infantile. There exist several reports of complications associated with the use of the PD in children circumcision [10, 11]
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