alexa Penile injuries from proximal migration of the Plastibell circumcision ring.
Clinical Research

Clinical Research

Journal of Clinical Research & Bioethics

Author(s): Bode CO, Ikhisemojie S, Ademuyiwa AO

Abstract Share this page

Abstract BACKGROUND: Although circumcision is the commonest surgical procedure performed on male neonates, complications still arise from all methods used by operators. PATIENTS AND METHOD: This was a prospective study of penile injuries resulting from proximal migration of the Plastibell device in neonate boys referred to the Lagos University Teaching Hospital, Lagos, Nigeria. The parameters measured were patients' biodata, presentation, management and treatment outcome. RESULTS: Twenty-three injuries resulting from circumcision with the Plastibell device all occurred from prolonged retention of the ring. In each case, the ring was retained and had migrated proximally. There was extensive skin loss in 17 (74\%) babies. Urethrocutaneous fistulae were the result in nine (39\%) of these cases, while partial necrosis of the glans penis occurred in four (17\%). These complications resulted from the use of wrong-sized Plastibell kits, lack of follow-up by the medical staff, and inadequate maternal knowledge of ring fall-out time. CONCLUSION: Proximal migration of the Plastibell ring can result from employment of an inappropriate size, causing grievous penile injury. Adequate information should be provided to mothers of circumcised babies about possible complications of the Plastibell kit when employed. There is a need to redesign the Plastibell kit to eliminate its migration up the penile shaft. This article was published in J Pediatr Urol and referenced in Journal of Clinical Research & Bioethics

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords