Patient Information
The Plastibell is a clear plastic ring with handle and has a deep groove running circumferentially.
Post circumcision healing and separation of plastic ring
- It is done under local anaesthesia and sucrose drop.
- The adhesions between glans and foreskin are divided with a hemastat (artery forceps).
- A thread is tied over the ring and the skin. Extra foreskin is removed
- A gauze dressing is applied around it.
- This gauze dressing has to be removed after 24 hours, by soaking the dressing in water. No further dressing is needed.
- The ring and the thread will be visible; this will come out on its own after around 7-10 days.
- Fucidine ointment has to be applied over the tip of penis during every nappy change. Adol drops to be given for 2-3 days as advised.
- Baby should receive bath regularly without soap on the penile area.
- It is expected to have little swelling of the skin over the ring and some yellow coating.
- Baby will be reviewed in the clinic after 5 days.
Post circumcision healing and separation of plastic ring
No change required
Not to apply gauze again.
Mild is expected, persistent bleeding-contact surgeon
Yes, next day onwards
Give adol as advised
in 7-9 days
Usually its stretching of skin over the ring and not for any infection
Could be allergy to ointment or infection-consult surgeon
Not to worry, do’not remove it.
Wait for few hours, it will fall, if still stuck-consult surgeon
Consult the Surgeon.
Surgical Circumcision
Surgical circumcision and dressing 
Steps to apply fucidine intertulle
- 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
- It is done by surgical technique with stitches under General Anaesthesia
- Baby is required to fast for at least 6 hours (no milk / water / food) and the baby should come to the hospital for admission 3 hours prior to the surgery.
- The Anaesthetist will visit the baby in the room. They will discuss the options of Pre Anaesthetic sedation and Caudal Analgesia ( Pain Management)
- After 2 hours of surgery, child will be fed and if stable will be discharged in next few hours.
- There will be a gauze dressing surrounding the penis. This dressing has to be removed after 24 hours at home by the parents. The dressing should be soaked with water to facilitate its smooth removal.
- The Penile wound will be very sensitive. So generous amount of Fucidine ointment has to be applied over the bare tip of penis 3-4 times a day. It would be covered by only Fucidine intertulle . No gauze dressing should be applied.
- Pain Medicines ( Adol & Nurofen) has to be given regularly as advised.
- Baby should be given warm water, bath daily and soap to be avoided.
- Baby will be reviewed in the clinic after 3-4 days.
Ask the child to take a shower,or wet the dressing with water, remove the whole dressing gently
Make a hole and slide on to the tip of penis
Apply only fucidine ointment and intertulle, no gauze to be applied.
Encourage to take shower daily
Its expected to appear on tip, not to remove.
Will separate on washing
Increasing redness and discharge-consult surgeon-could be sign of infection
Will fall in few days
No change required
Not to apply gauze again.
Mild is expected, persistent bleeding-contact surgeon
Yes, next day onwards
Give adol as advised
in 7-9 days
Usually its stretching of skin over the ring and not for any infection
Could be allergy to ointment or infection-consult surgeon
Not to worry, do’not remove it.
Wait for few hours, it will fall, if still stuck-consult surgeon
Consult the Surgeon.
Ask the child to take a shower,or wet the dressing with water, remove the whole dressing gently
Make a hole and slide on to the tip of penis
Apply only fucidine ointment and intertulle, no gauze to be applied.
Encourage to take shower daily
Its expected to appear on tip, not to remove.
Will separate on washing
Increasing redness and discharge-consult surgeon-could be sign of infection
Will fall in few days
