Manual for Male Circumcision under Local Anaesthesia

Male circumcision under local anaesthesia
Version 3.1 (Dec09)
and separate the adhesions to expose the corona, as
described above.
Step 3. It is usually necessary to make a dorsal slit (as
described above) before the Plastibell can be placed on the
glans. The slit needs only to be sufficiently long to allow the
Plastibell to be placed over the glans. Each Plastibell is
supplied in a sterile packet with a ligature – the Plastibell tie.
The procedure is easier if, after opening the Plastibell package,
the Plastibell tie is placed loosely around the shaft of the penis
before the dorsal slit is made (Fig. 6.10).
Fig. 6.10 The dorsal slit, allowing access to the glans
Step 4. Place the Plastibell on the glans, as shown in Fig. 6.11.
Fig. 6.11 Placing the Plastibell on the glans
Step 5. Pull the foreskin back over the Plastibell. It is
sometimes helpful to hold the foreskin in position by clipping it
to the Plastibell handle with an artery forceps (Fig. 6.12).
Infant and paediatric circumcision Chapter 6 - 14