Circumcision Technique
The Plastibell circumcision device is a clear, lightweight plastic in the shape of a bell with an attached handle (see photograph). It comes in various sizes to fit newborns, infants, and toddlers. The bell portion is designed to cover the glans while the foreskin is pulled over it and secured with
a string (ligature). The ligature sits in a groove at the top of the bell so that when tied, the ligature will compress the excess foreskin, cutting off its circulation. The unwanted foreskin can now be removed by cutting around the bell while it protects the glans from injury.
The key is choosing the correct size device since too large a bell will cause excessive tension on the remaining foreskin and pull the bell over the glans onto the penile shaft. On the other hand, if the bell size chosen is too small, an inadequate amount of foreskin could be removed and/or excessive pressure on the glans could result in a visible deformity. An experienced provider will choose the appropriate size device and perform the procedure in 5-10 minutes. Healing time is approximately 10-14 days.