Changes

The '''Plastibell Circumcision Device ''' 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 | first=RL | coauthors=Snyder DC | date=1953, January | title=Immediate circumcision of the newborn male | journal=Am. J. Obstet. Gynecol. | volume=65 | issue=1 | pages=1-11 | url= | quote= | pubmedID=13016660 | accessdate=MillerSnyder1953}}</ref><ref name=Kariher1956>{{REFjournal | last=Kariher | firstinit=DH | coauthorslast2=Smith |init2=TW | date=1956, January-01 | title=Immediate circumcision of the newborn | journal=Obstet Gynecol | volume=7 | issue=1 | pages=50-3 | url= | quote= | pubmedID=13280246 | accessdate=}}</ref> The device works bo by providing a circumferencial surface upon which to tie off the [[foreskin]].

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 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 bridges 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.

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 |last=Izzidien Al-Samarrai A.Y., |init=AY |last2=Mofti |init2=A. |last3=Crankson S. J |init3=SJ |title=The Use of Plastibell in Neonatal Circumcision. Review of 2000 cases. |journal=Surg. Gyne & Obst. |volume=167: |pages=341-343, 1988<!--{{vs|couldn't find |date=November 20121988}}--></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 | coauthors= | url=http://www.canada.com/vancouversun/story.html?id=cb3b8281-4134-46ba-85d3-b076072bda75&k=25810 | title=Ontario boy dies after complications from circumcision | date=June 2007-06-13, 2007 | publisher=The Vancouver Sun: CanWest News Service | 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 | last=Ly | firstinit=L | coauthorslast2=Sankaran |init2=K | date=2003 | title=Acute venous stasis and swelling of the lower abdomen and extremities in an infant after circumcision | journal=CMAJ | volume=169 | issue=3 | pages=216-7 | url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC167126/ | quote= | pubmedID=12900483 | accessdate=2020-04-22}}</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=anaestheticMedical 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= | coauthors= | date=2007 | title=Circumcision: A minor procedure? | journal=Paediatrics & child health | volume=12 | issue=4 | pages=311-2 | url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528673/ | quote= | pubmedID=19030377 | pubmedCID=2528673 | accessdate=2019-11-13

There also is a report of impetigo caused by ''Staphylococcus aureus '' when using the Plastibell.<ref>{{REFjournal | last=Stranko | firstinit=jJ | coauthorslast2=Ryan |init2=ME Ryan, |last3=Bowman |init3=AM Bowman | date=1986-09 | title=Impetigo in newborn infants associated with a plastic bell clamp circumcision | journal=Pediatric infectious disease | volume=5 | issue=5 | pages=597-9 | url=http://www.cirp.org/library/complications/stranko1/ | quote= | pubmedID=3763425 | accessdate=2019-11-13

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. | coauthorsinit=DP |last2=Healey |first2=Patrick J. Healey, |init2=PJ |last3=Waldhausen |first3=John H.T. Waldhausen |init3=JHT | date=1997 | title=Necrotizing fasciitis after Plastibell circumcision | journal=The Journal of Pediatrics | volume=131 | issue=3 | pages=459-62 | url=http://www.cirp.org/library/complications/bliss/ | quote= | accessdate=2019-11-13 | DOI=10.1016/S0022-3476(97)80078-9 | pubmedID=9329429

| last=Woodside | firstinit=JR | coauthors= | date=1980 -03 | title=Necrotizing fasciitis after neonatal circumcision | journal=American journal of diseases of children | volume=134 | issue=3 | pages=301-2 | url=http://www.cirp.org/library/complications/woodside2/ | quote= | pubmedID=6444778 | accessdate=2019-11-13

There have been cases of [[necrosis ]] of the glans penis following [[circumcision ]] with the Plastibell device.<ref>{{REFjournal | last=Bode | firstinit=C.O.CO |last2=Ikhisemojie | coauthorsinit2=S. Ikhisemojie, A.O. |last3=Ademuyiwa |init3=AO | date=2010 | title=Penile injuries from proximal migration of the Plastibell circumcision ring | journal=Journal of Pediatric Urology | volume=6 | issue=1 | pages=23-7 | url=https://www.researchgate.net/publication/256010137_Management_of_Plastibell_circumcision_ring_migration_and_glans_penis_incarceration | quote= | pubmedID=19570722 | DOI=10.1016/j.jpurol.2009.05.011 | accessdate=2019-11-13

PlastiBell 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 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 PlastiBellPlastibell). The result is the same: the [[amputation ]] of a healthy [[foreskin]].

* [http://www.thewholenetwork.org/14/post/2012/08/the-dangers-of-plastibell-circumcisions-graphic.html The Dangers of PlastiBell Plastibell Circumcisions - Graphic]* {{REFweb |url=http://www.drmomma.org/2010/05/the-perils-of-plastibell-circumcision.html |title=The Perils of Plastibell Circumcision: A Mythical "No Cutting, No Risk" Method |last=Day |first=Danelle |website=[[Dr. Momma - peaceful parenting]] |date=2010 |accessdate=2021-09-24}}

[[Category:Circumcision productsproduct]][[Category:Financial Gaingain]]