Plastibell Circumcision: How Safe is it? Experience at Sultan Qaboos University Hospital

Background: Plastibell circumcision complications can be life-threatening. Objective: The aim of this paper is to reviewthe complications of Plastibell circumcision reported in the literature and in our own patients to determine the safety of the procedure.Method: A retrospective study of ÆÌ7ÆÌ neonates circumcised in Sultan Qaboos University Hospital over a 4-year period from ÆÌ997to 2000. Results: Minor complications occurred in 4 (2.3 %) of circumcisions. Two cases were converted to formal circumcision due tobleeding and failure to introduce the bell respectively. One had delayed passage of urine for 24 hours and in one neonate, the parentswere concerned about inadequate removal of foreskin. Conclusion: Plastibell circumcision is a safe technique in experienced hands.The risk of complications with this procedure is increased eight-fold when performed by nurses compared to surgeons