Abstract
Objective:To compare the rate of complications of Plastibell and bone cutter circumcision technique and recognition of top worries and satisfaction rate in the mind of parents before and after the procedure of Plastibell device (PD) circumcision in infants less than 6 months of age.Methods:It was a descriptive prospective study conducted at department of surgery Sheikh Zayed Hospital, Rahim Yar Khan. Two hundred parents of infants of less than six months of age were recruited for this study. Infants were divided into two equal groups. Group I included Plastibell circumcision technique and Group II included Bone Cutter Circumcision technique. Data was analyzed using SPSS Version 17. Independent sample t-test and chi-square test was used to compare quantitative and qualitative variables respectively. P-value <0.05 was taken as significant difference.Results:Total number of two hundred infants were included in this study. Most common worries of parents about Plastibell Device circumcision were; fear of fever (42.0%). Fear of pain and bleeding (66.0%). Plastibell Device method was associated with less operation time and bleeding as compared to bone cutter method (P-value <0.0001 and <0.0001 respectively). Incidence of complications other than bleeding and infection was 3.0% in bone cutter method and 1.0% in Plastibell device method. Pain score was significantly less in plastibell device group (p-value <0.0001). Post-operatively, 98% parents showed complete procedural satisfaction in Plastibell group versus 87% parents in bone cutter one month after surgery (P-value 0.003). About 4% parents in bone cutter method group showed cosmetic displeasure versus only 1% parents in plastibell device group.Conclusion:The study concluded that Plastibell Device circumcision is a safer technique for circumcision and is associated with highest level of parent’s satisfaction.
Highlights
Circumcision is a religious practice as well as a surgical procedure having definite risk and Correspondence: *1st Revision Received: 2nd Revision Received: December 3, 2015 December 17, 2015 February 18, 2016 February 26, 2016 benefits.[1]
No Performa was used for bone cutter method because this is an older technique and most of the parents were familiar with the bone cutter method and were not willing to let their child go for plastibell circumcision
Parent’s main worry about this technique was will there be a fever after circumcision? This fear was present in 42.0% parents
Summary
Out of various techniques available for circumcision, Plastibell device method has become the method of choice in children less than one year of age in the modern world. The rate of complications with the use of Plastibell device (PD) are reported to be 2.0-3.0% in some studies.[5,6] Plastibell circumcision is largely under vision, almost blood less, least painful and easy to perform, with no tragic complications like traumatic amputation of glans, urethro-cutaneous fistula etc,[7,8] which are frequently seen in bone cuter method. We conducted this study to compare the rate of complications of Plastibell and bone cutter circumcision technique and recognition of top worries and satisfaction rate in the mind of parents before and after the procedure of Plastibell device (PD) circumcision in infants less than 6 months of age
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