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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Penile injuries from proximal migration of the Plastibell circumcision ring
Journal of Pediatric Urology, Volume 6, No. 1, Year 2010
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Description
Background: Although circumcision is the commonest surgical procedure performed on male neonates, complications still arise from all methods used by operators. Patients and method: This was a prospective study of penile injuries resulting from proximal migration of the Plastibell device in neonate boys referred to the Lagos University Teaching Hospital, Lagos, Nigeria. The parameters measured were patients' biodata, presentation, management and treatment outcome. Results: Twenty-three injuries resulting from circumcision with the Plastibell device all occurred from prolonged retention of the ring. In each case, the ring was retained and had migrated proximally. There was extensive skin loss in 17 (74%) babies. Urethrocutaneous fistulae were the result in nine (39%) of these cases, while partial necrosis of the glans penis occurred in four (17%). These complications resulted from the use of wrong-sized Plastibell kits, lack of follow-up by the medical staff, and inadequate maternal knowledge of ring fall-out time. Conclusion: Proximal migration of the Plastibell ring can result from employment of an inappropriate size, causing grievous penile injury. Adequate information should be provided to mothers of circumcised babies about possible complications of the Plastibell kit when employed. There is a need to redesign the Plastibell kit to eliminate its migration up the penile shaft. © 2009 Journal of Pediatric Urology Company.
Authors & Co-Authors
Bode, Christopher Olusanjo
Nigeria, Lagos
College of Medicine, University of Lagos
Ikhisemojie, Sylvester
Nigeria, Lagos
College of Medicine, University of Lagos
Ademuyiwa, Adesoji O.
Nigeria, Lagos
College of Medicine, University of Lagos
Statistics
Citations: 63
Authors: 3
Affiliations: 1
Identifiers
Doi:
10.1016/j.jpurol.2009.05.011
ISSN:
14775131
Research Areas
Health System And Policy
Maternal And Child Health
Violence And Injury
Study Design
Cohort Study
Study Locations
Nigeria
Participants Gender
Male