ABSTRACT
This chapter begins with the indications for circumcision. Congenital phimosis is due to congenital adhesions between the foreskin and the glans. This is normal and it is not possible to retract the foreskin in the first year of life. Progressive keratinisation of the epithelial layers between the glans and prepuce eventually dislodges the foreskin from the glans. If there is no pain or obstruction to urine, circumcision is not required. Acquired phimosis is due to poor hygiene, chronic balanitis and balanitis xerotica obliterans, which can occur in later life. The two layers of skin are brought together with interrupted absorbable sutures and a loose Vaseline dressing is applied. The foreskin is freed and retracted. The Plastibell is slipped over the glans penis and the foreskin is ligated and divided in the groove of the instrument. The chapter presents the complications of circumcision.
