Difference between revisions of "Device displacement"

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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]].
  
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Foreskin sloughing, obstruction of urine flow, and Insufficient foreskin removal have occurred due to displacement of the Prepex device.<ref>{{REFjournal
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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
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|last=Bode
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|first=
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|init=CO
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|author-link=
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|last2=Ikhisemojie
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|first2=
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|init2=S
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|author2-link=
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|last3=Ademuyiwa
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|first3=
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|init3=AO
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|author3-link=
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|etal=no
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|title=Penile injuries from proximal migration of the Plastibell circumcision ring
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|journal=J Pediatr Urol
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|location=
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|date=2010-02
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|volume=6
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|issue=1
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|article=
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|page=
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|pages=23-7
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|url=https://www.researchgate.net/profile/Christopher-Bode-2/publication/26334341_Penile_injuries_from_proximal_migration_of_the_Plastibell_circumcision_ring/links/5e8c3c6592851c2f52868d85/Penile-injuries-from-proximal-migration-of-the-Plastibell-circumcision-ring.pdf
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|archived=
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|quote=
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|pubmedID=19570722
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|pubmedCID=
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|DOI=10.1016/j.jpurol.2009.05.011
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|accessdate=2022-02-19
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}}</ref> and [[death]].<ref>{{REFjournal
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|last=Paediatric Death Review Committee: Office of the Chief Coroner of Ontario
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|first=
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|date=2007
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|title=Circumcision: A minor procedure?
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|journal=Paediatrics & child health
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|volume=12
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|issue=4
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|pages=311-2
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|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528673/
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|quote=
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|pubmedID=19030377
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|pubmedCID=2528673
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|accessdate=2023-12-26
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}}</ref>           
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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
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  |init=E
 
  |author-link=
 
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  |last2=Feldblum
 
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  |last4=Bailey
 
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  |first4=Robert C.
 
  |first4=Robert C.
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  |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
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  |journal=Urol Int
 
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  |accessdate=2022-02-19
 
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}}</ref>
 
}}</ref>
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Millard (2012) reported a 37 percent complication rate in a trial of the TARA KLamp.<ref name="millard2012>{{REFjournal
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|last=Millard
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|first=Peter
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|init=P
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|author-link=
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|etal=no
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|title=Circumcision - what's wrong with plastic rings?
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|journal=S Afr Med J
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|location=
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|date=2012-02-23
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|volume=102
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|issue=3 Pt 1
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|pages=126-8
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|url=http://www.samj.org.za/index.php/samj/article/view/5419/3926
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|pubmedID=22380898
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|DOI=10.7196/samj.5419
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|accessdate=2022-02-20
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}}</ref>
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{{REF}}
 
{{REF}}
  
 
[[Category:Circumcision complication]]
 
[[Category:Circumcision complication]]
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[[Category:Circumcision product]]
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[[Category:Circumcision risk]]
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[[de:Gerätverschiebung]]

Latest revision as of 15:00, 26 December 2023

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, sepsis, urethrocutaneous fistulae, partial necrosis of the glans penis,[1] and death.[2]

Foreskin sloughing, obstruction of urine flow, and Insufficient foreskin removal have occurred due to displacement of the Prepex device.[3]

Millard (2012) reported a 37 percent complication rate in a trial of the TARA KLamp.[4]

References

  1. ↑ REFjournal Bode CO, Ikhisemojie S, Ademuyiwa AO. Penile injuries from proximal migration of the Plastibell circumcision ring. J Pediatr Urol. February 2010; 6(1): 23-7. PMID. DOI. Retrieved 19 February 2022.
  2. ↑ REFjournal Paediatric Death Review Committee: Office of the Chief Coroner of Ontario. Circumcision: A minor procedure?. Paediatrics & child health. 2007; 12(4): 311-2. PMID. PMC. Retrieved 26 December 2023.
  3. ↑ REFjournal Odoyo-June E, Feldblum PJ, Fischer S, Bailey RC, et al. Unexpected Complications Following Adult Medical Male Circumcision Using the PrePex Device. Urol Int. 2016; 96: 188-93. PMID. DOI. Retrieved 19 February 2022.
  4. ↑ REFjournal Millard P. Circumcision - what's wrong with plastic rings?. S Afr Med J. 23 February 2012; 102(3 Pt 1): 126-8. PMID. DOI. Retrieved 20 February 2022.
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