Effect of Modifecations of Plastibell Circumcision Technique on Bleeding and Extraskin Complications in Infants

Background: Male circumcision is a common outpatient procedure in Arabic and Islamic countries for religious reason. In Saudi Arabia, Plastibell circumcision technique is a verified -proven method in infant up to 4 months. Aim of Study: The objective of this study is to identify the effect of some modifications on the technique of plastibell circumcision on bleeding and extra skin complications in infants. Patients and Methods: 600 male participants were included in this study. They visited the surgery clinic at Al Jazeera medical complex, Riyadh, Saudi Arabia over a period of 12 months from June 1, 2022 to May 30, 2023. Patients with the age of the infant should be less than 4 months, patients who met inclusion criteria were randomly divided into the experimental (E) and the control group (C). The procedures were performed by the surgical registrar and medical nurse with a topical local spray anesthesia to the penis. During this year we modulate our method and performance to avoid the complications we faced, and we get the best results at the end. Results: The study showed that there were significant differences after intervention between both groups in occurrence of bleeding and extra skin. Conclusion: Circumcision using a plastic bell can be done with a very minimal percentage of complication if we follow certain roles and modifications in the procedure to avoid bleeding and extra skin as well as proximal slippage of the bell.