Device displacement: Difference between revisions
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'''Device displacement''' occurs when a medical device, which is attached to the [[penis]] to crush the [[foreskin]], causing ischemia and [[necrosis]] of the distal part of the foreskin, become dislocated. Devices include the [[Plastibell]], the [[Prepex]], and the [[TARA KLamp]]. | '''Device displacement''' occurs when a medical device, which is attached to the [[penis]] to crush the [[foreskin]], causing ischemia and [[necrosis]] of the distal part of the foreskin, become dislocated. Devices include the [[Plastibell]], the [[Prepex]], and the [[TARA KLamp]]. | ||
The Plastibell ring has a tendency to migrate proximally. This causes such injuries as extensive [[skin]] loss, dysuria, [[Infection| sepsis]], [[Urethral fistula| urethrocutaneous fistulae]], | The [[Plastibell]] ring has a tendency to migrate proximally. This causes such injuries as extensive [[skin]] loss, dysuria, [[Infection| sepsis]], [[Urethral fistula| urethrocutaneous fistulae]], partial [[necrosis]] of the [[glans penis]],<ref>{{REFjournal | ||
|last=Bode | |last=Bode | ||
|first= | |first= | ||
|init=CO | |init=CO | ||
|author-link= | |author-link= | ||
|last2=Ikhisemojie | |last2=Ikhisemojie | ||
|first2= | |first2= | ||
|init2=S | |init2=S | ||
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|etal=no | |etal=no | ||
|title=Penile injuries from proximal migration of the Plastibell circumcision ring | |title=Penile injuries from proximal migration of the Plastibell circumcision ring | ||
|journal=J Pediatr Urol | |journal=J Pediatr Urol | ||
|location= | |location= | ||
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|DOI=10.1016/j.jpurol.2009.05.011 | |DOI=10.1016/j.jpurol.2009.05.011 | ||
|accessdate=2022-02-19 | |accessdate=2022-02-19 | ||
}}</ref> | }}</ref> and [[death]].<ref>{{REFjournal | ||
|last=Paediatric Death Review Committee: Office of the Chief Coroner of Ontario | |||
|first= | |||
|date=2007 | |||
|title=Circumcision: A minor procedure? | |||
|journal=Paediatrics & child health | |||
|volume=12 | |||
|issue=4 | |||
|pages=311-2 | |||
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528673/ | |||
|quote= | |||
|pubmedID=19030377 | |||
|pubmedCID=2528673 | |||
|accessdate=2023-12-26 | |||
}}</ref> | |||
Foreskin sloughing, obstruction of urine flow, and Insufficient foreskin removal have occurred due to displacement of the Prepex device.<ref>{{REFjournal | Foreskin sloughing, obstruction of urine flow, and Insufficient [[foreskin]] removal have occurred due to displacement of the Prepex device.<ref>{{REFjournal | ||
|last=Odoyo-June | |last=Odoyo-June | ||
|first=Elijah | |first=Elijah | ||
|init= | |init=E | ||
|author-link= | |author-link= | ||
|last2=Feldblum | |last2=Feldblum | ||
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|last4=Bailey | |last4=Bailey | ||
|first4=Robert C. | |first4=Robert C. | ||
|init4= | |init4=RC | ||
|author4-link=Robert C. Bailey | |author4-link=Robert C. Bailey | ||
|etal=yes | |etal=yes | ||
|title=Unexpected Complications Following Adult Medical Male Circumcision Using the PrePex Device | |title=Unexpected Complications Following Adult Medical Male Circumcision Using the PrePex Device | ||
|journal=Urol Int | |journal=Urol Int | ||
|location= | |location= | ||
| Line 72: | Line 82: | ||
|accessdate=2022-02-19 | |accessdate=2022-02-19 | ||
}}</ref> | }}</ref> | ||
Millard (2012) reported a 37 percent complication rate in a trial of the TARA KLamp.<ref name="millard2012>{{REFjournal | |||
|last=Millard | |||
|first=Peter | |||
|init=P | |||
|author-link= | |||
|etal=no | |||
|title=Circumcision - what's wrong with plastic rings? | |||
|journal=S Afr Med J | |||
|location= | |||
|date=2012-02-23 | |||
|volume=102 | |||
|issue=3 Pt 1 | |||
|pages=126-8 | |||
|url=http://www.samj.org.za/index.php/samj/article/view/5419/3926 | |||
|pubmedID=22380898 | |||
|DOI=10.7196/samj.5419 | |||
|accessdate=2022-02-20 | |||
}}</ref> | |||
{{REF}} | {{REF}} | ||
[[Category:Circumcision complication]] | [[Category:Circumcision complication]] | ||
[[Category:Circumcision product]] | |||
[[Category:Circumcision risk]] | |||
[[de:Gerätverschiebung]] | |||