Neither Mogen nor PlastiBell was associated with greater pain per 3-minute time period, but the PlastiBell technique on average took nearly twice as long as the Mogen procedure (20 vs 12 minutes). We judged that 60% of the infants had pain or discomfort associated with the procedure that was excessive.
At Intramed Medical Centre in Calgary, Dr. Crouse performs Pollock Technique™ circumcision, which is known as the quickest and least painful option for baby and adult circumcision.
During the operation (which takes 8-10 mins), the plastibell is placed between the foreskin and the head of the penis, protecting the head of penis during the procedure.
The Plastibell has the advantage of continuing hemostasis after the procedure is over, as the suture remains in place for a few days. The disadvantage is that there is a foreign body at the site, which could become dislodged or infected.
The Plastibell Circumcision Procedure
The doctor will give the baby a pain killer—usually either a topical cream or lidocaine injection. The baby might also take sugar water to relieve unnecessary discomfort during the procedure. The doctor separates the foreskin from the penis head with a probe.
From our experience, we have seen the Plastibell method work best when a child is circumcised between the ages of one and four months old. This is the age that has been most comfortable for mother and child both during the operation and in the recovery period. The IMC has recommended this age for over a decade.
Unicirc Device. Unicirc is a single-use circumcision instrument that is fit to the penis head. As in other procedures, the foreskin is separated from the penile shaft and a local anaesthetic is injected. The head of penis is placed in an appropriately-sized clear plastic tube and the foreskin is pulled up over the tube ...
Only sponge bathe your son for the next week. Clean the diaper area gently with warm water. We suggest using diaper wipes only for his buttocks, but for his penis use a wash cloth or dry wipes (like the ones they have in the hospital) for about the next week.
Rinse the area with water. Avoid using commercial diaper wipes. Bathing: If your baby still has his umbilical cord attached, give him sponge baths after surgery. Gently clean the penis with soap and water 2 to 4 times every day until the ring comes off and the penis is healed.
Plastibell Method (Ring Method) is the most popular and common method of circumcision which is highly recommended and suitable for infants and young boys unless indicated otherwise. The Circumplast or Plastibell is a clear plastic ring with a handle and has a deep furrow running all the way around it.
In this technique, a tight ligature is tied around the foreskin, drawn over a grooved plastic ring commonly known as the 'Plastibell', and the skin distal to the ligature is excised. The ligature results in a circumferential line of ischemic necrosis and the Plastibell falls off within the course of a few days.
Walking, talking, rocking, and singing and dancing together can take his mind off his pain, as can using a bottle or pacifier to stimulate the sucking reflex when you aren't breastfeeding. Some providers recommend a sugar-and-water solution for the pacifier or bottle for further pain relief.
Neonatal male circumcision is a painful skin-breaking procedure that may affect infant physiological and behavioral stress responses as well as mother-infant interaction. Due to the plasticity of the developing nociceptive system, neonatal pain might carry long-term consequences on adult behavior.
Plastibell circumcision is safe, quick, easily manageable, and acceptable technique for parents. Complications are low in neonates and infants than older age group.
Infants may be fussy and in pain for some hours after a circumcision, but this usually does not last more than a couple of days. Signs of pain can include crying and problems with sleep and feeding.
Normal Circumcision Healing
The scab at the incision line comes off in 7 to 10 days. If a Plastibell (plastic ring) was used, it should fall off by 14 days. 10 days is the average.
The doctor may have used a Plastibell device to do the circumcision. If so, your baby will have a plastic ring around the head of the penis. The ring should fall off by itself in 10 to 12 days. A thin, yellow film may form over the area the day after the procedure.
If this happens, look for signs of bleeding and call your doctor. After the Plastibell has fallen off, apply petroleum jelly to the entire tip of penis.
Yes. It's normal for the newborn to cry, especially in the first 24 hours after the procedure. This is a big day for him.
Your baby may seem fussy while the area heals. It may hurt for your baby to urinate. This pain often gets better in 3 or 4 days. But it may last for up to 2 weeks.
Circumcision can be done at any age. Traditionally, the most common time to do it is soon after your baby is born, or within the first month of life. Because the process is painful, a local anesthetic is used to numb the area and the surgery is performed while the baby is still awake.
Due to advantages like being quick, easy to perform, a less traumatic technique with minimal blood loss, lower complication rates and high cosmetic satisfaction, circumcision performed with ring instruments is a very popular and frequently chosen method.
The most common Plastibell size deployed was 1.3cm (n=1,040, 45.7%) while 1.6cm was the least commonly used ring (n=10, 0.4%). The mean time for device to fall-off was 6 days (range 4-12 days).
A circumplast circumcision is almost identical to the plastibell method. The major difference is that the circumplast ring is a slightly different shape and is better suited to boys who have a mild to moderate buried penis.