Circumcision with the plastibell device in hooded prepuce or glanular hypospadias.
OBJECTIVE
To retrospectively review our experience in infants with glanular hypospadias or hooded prepuce without meatal anomaly, who underwent circumcision with the plastibell device. Although circumcision with the plastibell device is well described, there are no reported experiences pertaining to hooded prepuce or glanular hypospadias that have been operated on by this technique.


METHODS
Between September 2002 and September 2008, 21 children with hooded prepuce (age 1 to 11 months, mean 4.6 months) were referred for hypospadias repair. Four of them did not have meatal anomaly. Their parents accepted this small anomaly and requested circumcision without glanuloplasty. In all cases, the circumcision was corrected by a plastibell device.


RESULTS
No complications occurred in the circumcised patients, except delayed falling of bell in one case that was removed by a surgeon, after the tenth day.


CONCLUSIONS
Circumcision with the plastibell device is a suitable method for excision of hooded prepuce. It can also be used successfully in infants, who have miniglanular hypospadias, and whose parents accepted this small anomaly.
Department of Pediatric Surgery, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. s_kavardi@yahoo.com.sg
Seyed A
SA
Mousavi
Hamid
H
Mohammadjafari