Plastibell Circumcision
The Plastibell is a clear plastic ring with a handle and has a deep groove running circumferentially.
Procedure Details
- Performed under local anaesthesia and sucrose drop
- Adhesions between glans and foreskin divided with hemostat
- Thread tied over ring and skin; extra foreskin removed
- Gauze dressing applied
- Dressing removed after 24 hours by soaking in water
- Ring and thread visible; falls out in 7–10 days
- Fucidine ointment applied during nappy changes
- Regular baths without soap on penile area
- Minor swelling and yellow coating expected
- Follow-up clinic visit after 5 days
Frequently Asked Questions
No change is required. Continue as normal.
Keep the area open, apply Fucidine ointment, and do not redress it.
Mild bleeding is expected. Persistent bleeding requires immediate contact with the surgeon.
The area can be washed from the next day onwards.
Adol (paracetamol) can be given for post-circumcision crying and mild discomfort.
The ring typically falls off in 7–9 days.
Yes, swelling is usually caused by skin stretching, not infection.
The yellow coating is normal and part of the healing process. Do not remove it.
Wait for a few hours. If it remains persistent, consult the surgeon.
Surgical Circumcision
Circumcision is the removal of the foreskin from the human penis. In the most common procedure, the foreskin is opened, adhesions are removed, and the foreskin is separated from the glans.
Procedure Details
- Performed surgically with stitches under General Anaesthesia
- 6-hour fasting required before surgery
- Hospital admission 3 hours before surgery
- Anaesthetist discusses pre-anaesthetic sedation and Caudal Analgesia options
- Child is fed after 2 hours; discharged if stable within hours
- Gauze dressing surrounding penis; removed after 24 hours at home by soaking
Post-Operative Care
- Generous Fucidine ointment applied 3–4 times daily to penile tip
- Covered with Fucidine intertulle only; no gauze
- Pain medicines (Adol & Nurofen) given regularly
- Warm water daily baths; soap avoided
- Clinic review after 3–4 days
Post-Circumcision FAQs
Shower or wet the area with water before gentle removal.
Make a hole in the centre of the Intertulle and slide it onto the penile tip.
Apply only Fucidine ointment and Intertulle; no gauze. This minimizes friction and discomfort.
Yes, daily showers are encouraged. Avoid soap on the area.
Yellow coating is expected; do not remove it. It is part of normal healing.
The black scab separates naturally with washing. No intervention required.
Consult the surgeon immediately, as this could indicate possible infection.
Sutures fall off naturally within a few days.