Plastibell: Difference between revisions
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==Advantages== | ==Advantages== | ||
The glans is protected during the procedure by the ring. Hemostasis (control of bleeding) is effective due to the ligature tie. Cosmetically, a predictable result is obtained due to the straight line of the ligature that causes the wound. It is a quick procedure for the physician to perform—once mastered. | The [[glans]] is protected during the procedure by the ring. Hemostasis (control of bleeding) is effective due to the ligature tie. Cosmetically, a predictable result is obtained due to the straight line of the ligature that causes the wound. It is a quick procedure for the physician to perform—once mastered. | ||
No bandage is required, allowing easy monitoring for infection. | No bandage is required, allowing easy monitoring for [[infection]]. | ||
Healing occurs while the edges of the prepuce are secured in the ring, making skin bridges (where the foreskin's end heals to the glans' corona) unlikely. | Healing occurs while the edges of the prepuce are secured in the ring, making skin bridges (where the foreskin's end heals to the glans' corona) unlikely. | ||
Cosmetically, there will be little to no circumcision scar, though as usual with any circumcision, there will be a color change where the (formerly) inner and outer layers of foreskin | Cosmetically, there will be little to no [[circumcision scar]], though as usual with any circumcision, there will be a color change where the (formerly) inner and outer layers of [[foreskin]] are healed together. | ||
==Disadvantages== | ==Disadvantages== | ||
The ring must fall off before final healing can occur. Rarely, the tip of the glans may protrude through the ring and become swollen, trapping the ring in place. Blood transfusion risk 1 in 30,000 procedures (Wiswell). | The ring must fall off before final healing can occur. Rarely, the tip of the [[glans]] may protrude through the ring and become swollen, trapping the ring in place. Blood transfusion risk 1 in 30,000 procedures (Wiswell). | ||
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> | 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> | ||
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The [[foreskin]] must first be slit and forced from the [[glans]] to allow entry for the plastic dome. | 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 | 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 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 | There are several reports in the literature of urinary retention after circumcision with the Plastibell device.<ref>{{REFjournal | ||
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| issue=4 | | issue=4 | ||
| pages=311-2 | | pages=311-2 | ||
| url= | | url=https://pmc.ncbi.nlm.nih.gov/articles/PMC2528673/ | ||
| quote= | | quote= | ||
| pubmedID=19030377 | | pubmedID=19030377 | ||
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}}</ref> | }}</ref> | ||
There have been cases of necrosis of the glans penis following circumcision with the Plastibell device.<ref>{{REFjournal | There have been cases of necrosis of the [[glans penis]] following circumcision with the Plastibell device.<ref>{{REFjournal | ||
| last=Bode | | last=Bode | ||
| first=C.O. | | first=C.O. | ||
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== "Non cutting"? == | == "Non cutting"? == | ||
PlastiBell is often described to parents as a non-cutting method. However, a dorsal slit (cut) | PlastiBell is often described to parents as a non-cutting method. However, a dorsal slit (cut) must often performed at the beginning of the installation to make it easier to install. Once installed, the PlastiBell cuts circulation to the [[foreskin]], necrotizing the tissue, which will fall off in a few days (or it might be 'trimmed' after installing the PlastiBell). The result is the same: the amputation of a healthy, functional foreskin. | ||
[[Image:Plastibelldrwg.jpg]] | [[Image:Plastibelldrwg.jpg]] | ||
{{LINKS}} | {{LINKS}} | ||
{{REF}} | {{REF}} | ||
[[Category:Circumcision | [[Category:Circumcision]] | ||
[[Category:CircLeaks]] | [[Category:CircLeaks]] | ||
[[Category:From IntactWiki]] | [[Category:From IntactWiki]] | ||