مقايسه عوارض زودرس و مدت زمان دو روش ختنه با جراحي كلاسيك و حلقه پلاستيبل

Plastibell and Conventional Circumcision in Infants: a Randomized Clinical Trial

Background: Conventional dissection suturing technique and Plastibell circumcision are the two most widely used methods of circumcision in Iran. We conducted a clinical trial to assess the complication, cosmetic results, and duration of the procedure using the two techniques. Materials and Methods: 2185 infants under the age of one were circumcised at two hospital centers, from April 2000 to March 2003. The infants were randomized to one of two groups; group A, using the plastibell device (n=1085), and group B, using the conventional technique (n= 1100). All infants received dorsal nerve block with Lidocaine 2%. The two groups were evaluated for complications and cosmetic results immediately follwing the operation and 4-10 days later. The parents were told to notify the surgeon if meatal stenosis occurs. Comparisons were made regarding the complications, cosmetic results, and duration of the procedure. Results:The incidence of bleeding in the plastibell group (A) was 3 infants (0.3%), significantly less than the convention group (B) which was 11 infants (1.0%)(p=0.030). In group A, local infection resulting in further surgery did not occur, but 3 infants (0.3%) in group B needed further surgery due to local infection (p=0.127). The Plastibell circumcision resulted in poor cosmetic results for 3 infants (0.3%) compared to 9 infants (0.8%) in the conventional group (p=0.076). The mean operation time (± SD) was shorter for Plastibell circumcision (4.08± 0.81 vs 18.13E 1.87 minutes). Conclusion: We recommend circumcision for infants using the Plastibell technique, because of the results of this study which indicated less complications and shorter duratrion.