Plastibell: Difference between revisions
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[[Image:Plastibell.jpg|right|thumb|A circumcision device that uses string to cut off blood flow to the foreskin, amputating it ]] | [[Image:Plastibell.jpg|right|thumb|A circumcision device that uses string to cut off blood flow to the foreskin, amputating it ]] | ||
The ''' | The '''Plastibell''' circumcision device is a clear plastic ring with a deep groove running circumferentially designed for circumcising infant males. It was invented by Hollister Inc in 1950, and first reported on in 1953.<ref name=Miller1953>{{REFjournal | ||
|last=Miller | |last=Miller | ||
|first=R.L. | |first=R.L. | ||
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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 | One study of 2000 Plastibell circumcisions found a complication rate of 1.8%.<ref>{{REFjournal | ||
|last=Izzidien Al-Samarrai | |last=Izzidien Al-Samarrai | ||
|first=A.Y. | |first=A.Y. | ||
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|last3=Crankson | |last3=Crankson | ||
|first3=S. J. | |first3=S. J. | ||
|title=The Use of | |title=The Use of Plastibell in Neonatal Circumcision. Review of 2000 cases | ||
|journal=Surg. Gyne & Obst. | |journal=Surg. Gyne & Obst. | ||
|volume=167 | |volume=167 | ||
| Line 73: | Line 73: | ||
}}</ref> than a [[Gomco|Gomco clamp]] or similar entirely-supervised circumcision. | }}</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 | There are several reports in the literature of urinary retention after circumcision with the Plastibell device.<ref>{{REFjournal | ||
|last=Ly | |last=Ly | ||
|first=L. | |first=L. | ||
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}}</ref> | }}</ref> | ||
There also is a report of impetigo caused by Staphylococcus aureus when using the | There also is a report of impetigo caused by Staphylococcus aureus when using the Plastibell.<ref>{{REFjournal | ||
|last=Stranko | |last=Stranko | ||
|first=J. | |first=J. | ||
| Line 123: | Line 123: | ||
}}</ref> | }}</ref> | ||
There have been multiple cases of children developing necrotizing fasciitis in their penis after being circumcised using the | 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 | |last=Bliss | ||
|first=David P. | |first=David P. | ||
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|last3=Waldhausen | |last3=Waldhausen | ||
|date=1997 | |date=1997 | ||
|title=Necrotizing fasciitis after | |title=Necrotizing fasciitis after Plastibell circumcision | ||
|journal=The Journal of Pediatrics | |journal=The Journal of Pediatrics | ||
|volume=131 | |volume=131 | ||
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}}</ref> | }}</ref> | ||
There have been cases of necrosis of the glans penis following circumcision with the | 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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|last3=Ademuyiwa | |last3=Ademuyiwa | ||
|date=2010 | |date=2010 | ||
|title=Penile injuries from proximal migration of the | |title=Penile injuries from proximal migration of the Plastibell circumcision ring | ||
|journal=Journal of Pediatric Urology | |journal=Journal of Pediatric Urology | ||
|volume=6 | |volume=6 | ||
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== "Non cutting"? == | == "Non cutting"? == | ||
Plastibell is often described to parents as a non-cutting method. However, a dorsal slit (cut) is 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 foreskin. | |||
[[Image:Plastibelldrwg.jpg]] | [[Image:Plastibelldrwg.jpg]] | ||
{{LINKS}} | {{LINKS}} | ||
* [http://www.thewholenetwork.org/14/post/2012/08/the-dangers-of-plastibell-circumcisions-graphic.html The Dangers of | * [http://www.thewholenetwork.org/14/post/2012/08/the-dangers-of-plastibell-circumcisions-graphic.html The Dangers of Plastibell Circumcisions - Graphic] | ||
{{REF}} | {{REF}} | ||