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→"Non cutting"?: Wikify.
==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.
No bandage is required, allowing easy monitoring for [[infection]].
Healing occurs while the edges of the [[prepuce ]] are secured in the ring, making [[skin bridge]]s (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 ]] meet.
==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 is 1 in 30,000 procedures (Wiswell).
One study of 2000 Plastibell circumcisions found a complication rate of 1.8%.<ref>{{REFjournal
}}</ref>
The [[foreskin ]] must 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 [[bleeding| hemorrhage ]] due to the bell slipping or otherwise failing are greater<ref>{{REFnews
|last=Brennae
|first=Mark
}}</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
|last=Ly
|init=L
|pubmedID=12900483
|accessdate=2020-04-22
}}</ref> [[Death ]] has been reported.<ref>[http://www.austlii.edu.au/cgi-bin/sinodisp/au/cases/vic/VCAT/2010/1772.html?stem=0&synonyms=0&query=anaesthetic Medical Board of Australia v Jabbar] (Occupational and Business Regulation) [2010] VCAT 1772 (5 November 2010)</ref><ref>{{REFjournal
|last=Paediatric Death Review Committee: Office of the Chief Coroner of Ontario
|first=
}}</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.
}}</ref>
There have been cases of [[necrosis]] of the glans penis following [[circumcision ]] with the Plastibell device.<ref>{{REFjournal
|last=Bode
|init=CO
== "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 installthe device. 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]]
== Video ==
<br>
* [https://med.stanford.edu/newborns/professional-education/circumcision/plastibell-technique.html Plastibell Technique]
{{SEEALSO}}
* [[Device displacement]]
* [[Dorsal penile nerve block]]
* [[Intraperitoneal bladder perforation]]
* [[Pain]]
* [[Trauma]]
{{LINKS}}
* [http://www.thewholenetwork.org/14/post/2012/08/the-dangers-of-plastibell-circumcisions-graphic.html The Dangers of Plastibell Circumcisions - Graphic]