A Case of foreign body granuloma after Plastibell® circumcision

• Main Authors: Nirmitha Jayaratne, Ahmad Zaghal, Justin Weir, Muhammad Choudhry
• Format: Article
• Language: English
• Published: Ped Urol Case Rep 2018-01-01
• Series: Pediatric Urology Case Reports
• Subjects: Circumcision; Plastibell® ring; foreign body; granuloma; technique; complication
• Online Access: http://pediatricurologycasereports.com/ojs/index.php/pucr/article/view/325/147

Male circumcision is one of the most commonly performed surgical procedures and the Plastibell® device is a popular method used to perform circumcisions in neonates and young children. We report a case of a 9-year-old otherwise healthy boy who developed foreign body granulomas following Plastibell® circumcision which was carried out in the community by a medically trained practitioner. His post-operative course was complicated by a retained Plastibell® ring and development of multiple non-healing wounds and granulomas. This patient underwent a semi-elective examination under general anesthesia, wound exploration and re-do modified circumcision. At 4 month follow up the wound was well healed without scarring and the patient reported a normal single straight stream urinary flow.