The Plastibell involves a plastic ring placed between the penis and its foreskin, a sterile thread is tied at the groove on the bell and redundant skin is excised to circumcise a male. A longitudinal cut in the foreskin is required before the ring supported by its handle can be placed.The thread string is tied around the groove on bell above the foreskin cut off the blood supply.The handle is then removed. The skin over the ring is sloughed off and ring should fall off by itself in few days after the procedure. No bleeding at all and no dressings are required.
Selection of size of bell and technique of tying thread is very important. If loosely placed thread, the bell may slip out, causing bleeding, which will need conversion to open method. NOTE : The best time is immediately after birth, no local anaesthesia is required. Later after few months, the boy will need Anaesthetist to give…
