A novel disposable ring (Circumplast) showed no ring migration onto the shaft of the penis in the first 1000 male children's circumcisions in a community specialist clinic - reported in JPSCR in 2023
The mean age of the patients was 11 ± 0.6 months (median 2 months) for the first 1000 circumcisions performed with Circumplast over 2.5 years. The overall minor complication rate was 10% (n = 101). The incidence of minor complications was significantly better in children under 3 months (7%, 39/554) than over 3 months (14%, 62/446) (p < 0.05 Chi-square). Later our clinic stopped using Circumplast over 5 years old because of the suitability of the size. There was no incidence of migration of the Circumplast ring onto the shaft of the penis observed in our cohort.
Postoperative use of antibiotics for infection was 5%, possibly due to the low threshold to start antibiotics for suspected infection after ring circumcisions. Postoperative bleeding (1%), preputial adhesions (1%), buried penis (0.6%), redo operations (0.7%), and urinary retention (0.01%) were recorded. The mean duration for follow-up consultations was 16 days (range 1–373).
“Ref: https://doi.org/10.1016/j.epsc.2023.102603”
