Prospective randomized trial comparing dissection with Plastibell® circumcision.
OBJECTIVE
To compare and evaluate dissection and Plastibell(®) circumcision techniques for the treatment of phimosis.


METHODS
In 2006-2007, 125 children were submitted to circumcision by the same surgeon. The children were randomly divided into two groups (PD: Plastibell(®) and DC: dissection). In both groups the surgery was performed under general anesthesia and dorsal penile block. The dissection circumcision used the double circular incision technique. Follow-up was done on days 15, 45 and 90 after surgery.


RESULTS
Sixty-eight patients were included in DC and 57 in PD. The mean age at surgery was 71.76 ± 31.56 months for DC and 70.95 ± 31.73 months for PD. There was no difference in Kayaba's classification for phimosis or indication for surgery between the groups. Surgical time for DC was 14.64 ± 1.93 min and for PD 3.29 ± 1.48 min (P < 0.001). The incidence of immediate complications was similar, but late complications, especially adhesions, were greater in DC (P < 0.01). The use of pain medication (paracetamol) was similar during the first 2 days after surgery, but was greater in PD from the 3rd day after surgery (P < 0.05).


CONCLUSIONS
Plastibell(®) circumcision has a shorter surgical duration with fewer late complications, but requires more analgesic medication after the 3rd day post surgery.
Bastos Netto
José Murillo
JM
Federal University of Juiz de Fora - Department of Morphology, Brazil. jmbnetto@uropedjf.com.br
de Araújo
José Gonçalves
JG
de Almeida Noronha
Marcos Flávio
MF
Passos
Bruno Rezende
BR
de Bessa
José
J
Figueiredo
André Avarese
AA
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002944:Circumcision, Male / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications; D008297:Male; D010413:Penis / Q000473:pathology; D010688:Phimosis / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications