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Arab J Urol. 2015 Sep;13(3):179-81. doi: 10.1016/j.aju.2015.04.001. Epub 2015 May 19.

Plastibell circumcision supported by a calcium-alginate fibre dressing to reduce bleeding.

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1
Department of Urology, Royal Bahrain Hospital, Bahrain.

Abstract

OBJECTIVE:

To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calcium-alginate fibre dressing, to reduce bleeding from the frenular vessels, the commonest complication of Plastibell circumcision.

PATIENTS AND METHODS:

This was a retrospective study of 200 neonates circumcised in the Royal Bahrain Hospital over a 2-year period from 2012 to 2014. They had a standard Plastibell circumcision, but a calcium-alginate fibre dressing (Hypo-sorb, Plastod, Italy) was placed over the glans and under the foreskin, to help control bleeding from the frenular vessels.

RESULTS:

Circumcision using the calcium-alginate fibre dressing reduced the bleeding complication rate to zero. The delayed separation of the bell was 2.9% when using the new technique and 2.5% from our previous data. There were no cases of urinary retention reported, compared to two in the previous results.

CONCLUSION:

A Plastibell circumcision supported by the calcium-alginate fibre dressing was a safe technique to reduce bleeding.

KEYWORDS:

Bleeding; Calcium alginate; Circumcision; Neonates; Plastibell

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