Investigating Normal and Abnormal Features of Plastibell Ring Circumcision: Case Report and Review of Evidence Publisher



Akhavizadegan H ; Ghorbani A
Source: Journal of Urological Surgery Published:2026

Abstract

Plastibell ring circumcision may be associated with some complications. In this article, we aimed to illustratively address the abnormal and normal features of plastibell ring circumcision. PubMed and Embase were searched for plastibell ring circumcision. Pictures were taken of circumcised children with plastibell rings. The normal post-procedure course of healing, may resemble abnormal complications such as infection and dehiscence. It was revealed that subcutaneous hematoma, blister, and crust on glans, inflammatory penile shaft erythema and swelling, inflammatory penile discharge, and skin-mucosa gap are normal post-circumcision features of plastibell ring circumcision. In contrast, infectious penile shaft erythema, swelling, and discharge, as well as ring impaction, preputial adhesion, and meatal adhesion, were found to be abnormal features. Adverse events of the plastibell ring circumcision are rarely noticed by parents. Therefore, the necessary measures are not taken, and the child suffers serious complications as a result of circumcision. Sometimes, natural features are observed after circumcision, causing parents’ anxiety due to ignorance. Providing a pamphlet illustrating common normal and abnormal features of plastibell ring circumcision will decrease family stress, emergency referrals, and preventable complications in this common procedure. © 2026 The Author(s).