The benefits of circumcision are indisputable and have been well documented and some medical literature remained controversial about the circumcision in children. Plastibell and Circumplast remained popular devices for non-therapeutic circumcision in infants and children. Circumplast device is superior than Plastibell has yet to be established in the literature.
Wachtel MS, Yang S, Morris BJ reported in Asian Journal Andrology. August 2015 from School of Medical Sciences, University of Sydney, Sydney, New South Wales, Australia
Countries with high circumcision prevalence have lower prostate cancer mortality.
The present study determined the relationship of male circumcision (MC) prevalence with prostatic carcinoma mortality rate in the 85 countries globally for which data on each were available. MC prevalence in different countries were obtained from a WHO report and allocated to WHO categories of 81%-100%, 20%-80%, and 0%-19%.
Compared to countries with 81%-100% MC prevalence, prostatic carcinoma mortality rate was higher in those with MC prevalence of 0%-19% and 20%-80%. Higher Muslim percentage for each 10% increase and longer life expectancy for each 5 additional years were associated with lower prostatic carcinoma mortality.
Thus, prostate cancer mortality is significantly lower in countries in which male circumcision prevalence exceeds 80%.
Bode C O, Ikhisemojie S, Ademuyiwa A O. Penile injuries from proximal migration of the Plastibell circumcision ring. J Paed Surg 2010; 6: 23-27
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 skinloss 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.
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.
Cathcart P, Nuttall M, van der Meulen J, et al. Trends in paediatric circumcision and its complications in England between 1997 and 2003. Br J Surg. 2006; 93: 885–90.6
75 868 boys under the age of 15 included in the study.
Data extracted from the Hospital Episode Statistics database of admission to NHS hospitals in England. There was a 20% fall in circumcision rate from 1997 to 2003. In 2003 it was 2.1 per 1000 boys.
Indications for circumcision: 90% phimosis, 8% balanitis, 2% other.
1.2% of boys experienced complications.
The study excluded boys who had additional operative procedures at time of circumcision.
Only complications requiring prolonged hospital stay or readmission included therefore some minor complications not included in the study.