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One study of 2000 Plastibell circumcisions found a complication rate of 1.8%.<ref>Izzidien Al-Samarrai A.Y., Mofti A. Crankson S. J The Use of Plastibell in Neonatal Circumcision. Review of 2000 cases. Surg. Gyne & Obst.167: 341-343, 1988<!--{{vs|couldn't find|date=November 2012}}--></ref>
The [[foreskin ]] must first be slit and forced from the [[glans ]] to allow entry for the plastic dome.
Furthermore, because convalescence depends on a (temporarily) affixed medical device, risks of infection or hemorrhage due to the bell slipping or otherwise failing are greater<ref>{{REFnews
| quote=
| accessdate=2008-07-16
}}</ref> than a [[Gomco| Gomco clamp]] or similar entirely-supervised circumcision.
There are several reports in the literature of urinary retention after circumcision with the Plastibell device.<ref>{{REFjournal
| pubmedID=12900483
| accessdate=2025-04-23
}}</ref> [[Death ]] has been reported.<ref>[http://www.pulsus.com/Paeds/12_04/Pdf/zwol_ed.pdf Paediatrics & Child Health, Home<!-- Bot generated title -->]</ref><ref>http://www.austlii.edu.au/cgi-bin/sinodisp/au/cases/vic/VCAT/2010/1772.html?stem=0&synonyms=0&query=anaesthetic</ref><ref>{{REFjournal
| last=Paediatric Death Review Committee: Office of the Chief Coroner of Ontario
| first=
| issue=4
| pages=311-2
| url=http://www.circumstitions.com/death-exsang.html
| quote=
| pubmedID=19030377
| pubmedCID=2528673
| accessdate=2025-04-25
}}</ref>
}}</ref>
There have been multiple cases of children developing necrotizing fasciitis in their [[penis ]] after being [[circumcised ]] using the Plastibell device.<ref name=pubmed9329429>{{REFjournal
| last=Bliss
| first=David P.