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Choosing an appropriate Plastibell size for infant circumcision

机译:为婴儿包皮环切术选择合适的Plastibell尺寸

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Background: The Plastibell technique is the most frequently used device due to its perceived “ease of use” by all categories of practitioners including nonqualified people like barbers and technicians. Nonetheless, Plastibell technique for circumcision is not without its problems. We aim to describe a simple and objective technique of choosing an appropriate Plastibell size for Plastibell circumcision. Technique and Methods: The circumference of the glans penis (C) is measured at the level of the glanular ridge. The diameter of the glans corresponding to the Plastibell size is determined using the formula πD = C. The glans diameter (D) equals 0.32C. This technique was used to choose Plastibell size for 25 consecutive infants in a pilot study. Results: The median age of the infants was 21 days. The median circumference of the glans was 4.1 cm, and the median size of the Plastibell used was 1.3. The median time taken by the device to fall off spontaneously after circumcision was 4 days. There was no complication recorded. Conclusions: This objective method of choosing the appropriate Plastibell size is easy and safe. It has the potential to reduce the complications of Plastibell circumcision.
机译:背景:Plastibell技术是最常用的设备,因为它被所有类型的从业者(包括理发师和技术人员等不合格的人)认为“易于使用”。尽管如此,Plastibell包皮环切术并非没有问题。我们旨在描述一种简单客观的技术,为Plastibell包皮环切术选择合适的Plastibell尺寸。技术和方法:龟头阴茎(C)的周长在肾盂水平处测量。使用公式πD= C确定与Plastibell尺寸对应的龟头直径。龟头直径(D)等于0.32C。在一项先导研究中,该技术用于选择25个连续婴儿的Plastibell尺寸。结果:婴儿的中位年龄为21天。龟头的中值周长为4.1厘米,使用的Plastibell的中值大小为1.3。包皮环切术后设备自发脱落的中位时间为4天。没有记录并发症。结论:选择合适的Plastibell尺寸的这种客观方法既简单又安全。它有可能减少包皮环切手术的并发症。

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