Comparison of sleeve dissection vs plastibell circumcision in terms of operation time and post op complications - A prospective randomized controlled trial.

Abstract

Objective: To compare sleeve dissection vs plastibell circumcision. Study Design: Randomized Control Trial. Setting: Department of Surgical Outpatient, Gulab Devi Hospital, Lahore. Period: Between July 2021 and July 2022. Material & Methods: This study was conducted on 110 children of different ages who presented with uncircumcised phallus for circumcision. They were divided randomly for any of two methods: Sleeve dissection and Plastibell circumcision. The complications which were observed were: bleeding, incomplete circumcision, meatal stenosis and plastibell slippage. Results: A total of 110 boys (55 in each group) were operated for circumcision during the study period and were subjected to analysis. The mean age group of babies with plastibell was 2.25 ± 1.32 months as compared to sleeve dissection 2.87 ± 1.67 months and P-Value was found to be (0.034). The mean procedural time of babies with plastibell was 9.94 ± 3.22 minutes as compared to sleeve dissection 13.1 ± 3.07 minutes and P-Value was obtained as (0.000). Overall complication rate was 10.9% in plastibell technique while 14.5% complication rate was present in sleeve dissection technique with a P-value (0.388). Conclusion: As Plastibell circumcision has less rate of complication so Plastibell circumcision is considered safer and less time consuming as compared to Sleeve dissection circumcision.