Clinical Investigation of Magic Ring (Modified Plastibell Device) for Circumcision
Lutfi A Rahman (1), Riza Mazidu (2)
Introduction
The common complications of Plastibell
are slippage, migration, bleeding and
serious infection. We investigated the
performance of Magic Ring (a modified
Plastibell device) for circumcision in
children to reduce its risk of
complication.
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Muslimat Public Hospital, Ponorogo
Materials and Method
This was a retrospective study of 52 children circumcised in Muslimat Public Hospital,
Ponorogo. They had a modified Plastibell circumcision designed to reduce risk of
complications of standard Plastibell devices (slippage, migration, bleeding, secondary
infection, and pain from trapped frenulum). Some modifications were made such as deeper
canal to ensure faster drop-off interval, ligation by surgical thread around the canal to
reduce bleeding risk and secondary infection, and upsizing the device 2-4mm above the
glan’s diameter to prevent slippage and migration. Patients were followed up everyday up
to 8 weeks after the procedure. Outcome measures were evaluated such as slippage &
migration rate, bleeding rate, infection rate, and pain scale
Resulit
Circumcision using the Modified Plastibell Device reduced the overall complication rate to
1,9 % including a case of postoperative bleeding caused by excessive physical activity,
compared to our previous data. There were no cases of migration and slippage reported. No
patient experienced infection and moderate to severe pain. All enrolled patients were
satisfied with the postoperative outcome.
Discussion
The Magic Ring had some modifications made from the original Plastibell such as deeper
canal to ensure faster drop-off interval, ligation by surgical thread around the canal to
reduce bleeding risk and secondary infection, and upsizing the device 2-4mm above the
glan’s diameter to prevent slippage and migration.
Conclusion
It might come as a solution to reduce risks
associated with standard Plastibell usage in
circumcision patients as it shows lower bleeding,
slippage, and migration rate and better pain scale.
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Acknowledgement / Contact
• Lutfi Aulia Rahman, MD (+6285645892496)
• Riza Mazidu, MD (+6285655402544)