- Local anesthetic injection is given as appropriate based upon size and age of the patient.
- Time is given for the local anaesthetic to work.
- Surgical Clamps are applied to the foreskin.
- Any adhesions are removed affecting the foreskin.
- The foreskin is gently peeled off in a backwards direction.
- Sometimes a cut to the foreskin is made to enable the foreskin to be retracted safely.
- The Plastibell devise is now positioned.
- The foreskin is realigned over the Plastibell device.
- A tourniquet is now tightened which crushes the extra foreskin onto the Plastibell devise which is sitting and protecting the glans of the penis.
- A small amount of extra skin is removed and the Plastibell devise is now left in place.
- Within 5-8 days the Plastibell device falls off leaving a clean circumcision scar
- A small amount or residual swelling occurs which settles over the next 3-5 days.
