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Jesin used [http://www.intactipedia.org/index.php?title=Jewish_Circumcision#Metzitzah_B.27peh metzitzah b’peh[Metzitzah b'peh]] in his circumcisions for approximately five years before an encounter with Rabbi Moshe Tendler, who advocated the use of gloves and a sterile glass tube. Jesin said he has since performed circumcisions with those accessories. Jesin said that in the rare case that a family insists on metzitzah b’peh [[Metzitzah b'peh]] today, he asks the father to perform that part of the ritual.<ref>{{REFnews