Saturday, August 22, 2009

Plastibell Infant Circumcision


It is terribly troubling that a lot of parents are told that the Plastibell form of circumcision is "less painful" or "less traumatic" for a newborn. For this surgery, a Plastibell is used rather than a Gomco Clamp or Mogen Clamp. "Plastibell" may sound like a more inviting tool to use on a highly sensitive penis than "Clamp." The reality, however, is that all forms of genital cutting are equally excruciating for a newborn. All forms amputate the purposeful prepuce organ which serves many important functions in infancy, childhood, and adulthood. If you are considering having your baby circumcised using the Plastibell method, here is one video to witness this particular surgical procedure.

Note that this video was made by a pro-cutting doctor and his assistant, so the baby's screaming is muted and words are instead placed on the screen describing what is being done. Not all of the information they post is entirely accurate -- NO health or medical organization in the entire world recommends circumcision on infants. No health or medical organization in the entire world recommends that anyone other than the young boy himself 'mess with' his foreskin. While the average age of retraction is 10.6 years of age, sometimes this natural retraction does not occur until the hormones of puberty naturally loosen the prepuce. The problems that have arisen for a minority of intact babies, boys, or men, in the U.S. occur because someone forcibly retracted or attempted to 'clean' between their foreskin and penis glans (head) before it was retracting fully on its own. This is the same as if we pulled back the fingernails of a newborn baby to 'clean' between their fingernails and fingers, or if we scrubbed out the area between the eyelids and eyeballs. The prepuce is tightly adhered to the glans (head) of the penis. There is zero care needed for an intact baby boy. The prepuce is a self-cleaning, self-sustaining, remarkable and necessary organ.



Additional video examples of Plastibell circumcision surgery:



For promotion of his practice, this Australian physician (who profits on the sale of circumcision surgery) uses a large amount of anesthesia - both topically before injection, and local anesthesia in three locations, pressing deep into the penile tissues to reach the dorsal nerve running to the base of the frenulum. He also waits adequate amount of time for the anesthesia to kick in. Rarely is this practice (either the heavy amount of anesthesia, placement, or time in waiting for it to take effect) carried through as such in the United States or Canada. This video is a rare one in which the baby has adequate local anesthesia to dull the pain of the surgery, and the process - the amputation of the prepuce by Plastibell - can be seen clearly. Unfortunately, the physician fails to discuss the monumental pain that will ensue when this local anesthesia wears off, or all the many purposes of the prepuce organ that have now been forever removed from this baby. Anesthesia is counter-indicated for newborns by the American Academy of Pediatrics, which is one reason the majority of hospitals conducting genital cutting do not utilize it in their newborn circumcision surgeries. Another reason, as one U.S. physician recently stated is because, "I can get the job done much faster without having to wait 10 minutes for anesthesia to kick in."



Aside from the Plastibell, the Gomco is the other most commonly performed method of prepuce amputation in the United States. When a parent decides against keeping their child intact, one of these two methods of circumcision surgery will almost always take place in the U.S. As a result, we include one example of the Gomco here as well:




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For additional information on the prepuce (foreskin), circumcision, and intact care, see: Are You Fully Informed?



33 comments:

  1. Gloria, I sense the heat has been turned up in this battle. I smell desperation coming from the American medical community which sees this horrible transgression of human rights as merely a billable procedure and an endless supply of fibroblasts to be sold to the biotech industry to make skin grafts and wrinkle creams.

    As RIC continues to fall out of favor in the US, no wonder there's been such a recent push to export the practice to Africa.
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  2. I saw a similar video when I was pregnant with our first child who was a boy. After hearing the poor baby scream, I knew there was no way I could put him through such an ordeal. I told my husband about how the surgery was done and that, at the time (almost 5 years ago), there was no pain medication during the procedure. We agreed to leave our son intact. We now have 2 boys and neither were subjected to this... While I typically try to put information out to let parents make their own decisions, this is an issue that makes me heart skip beats. How can you hear that sound, that desperate cry for help from your newborn, and still think this is okay? It just breaks my heart that this is still "the norm" and that people look at my kids funny and think they are "dirty." It's amazing how rampant ignorance can be sometimes. *sigh*
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  3. I'm bawling right now. Maybe it's the mommy guilt. Maybe it's the realization that my son actually experienced this and I had no clue. 8 years ago when my son was born, I trusted my uneducated husband and the doctors to make this decision for me. As my child grew it was very apparent his penis was "not normal." They did not cut enough foreskin off, but caused scarring and he now has a thick "ring" of foreskin just past the head of his penis. Because of his problems, I did research. My other two sons are intact, I only wish I'd known more when my oldest was born and not trusted that the doctors knew what was best.
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  4. This is one of the most disturbing videos I have EVER seen. Any doctor who saw such a horrendous act -- all these many years -- and had the UNMITIGATED GALL to still pretend that neonates "do not feel pain" had better hope to God that there is no retribution in the afterlife. What ignorance laced with sadism. Unbelievable. "First, do no harm".
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  5. My husband & I chose not to circumcise our son. Why? Because we did not, and do not, believe we have the right to make such an alteration to his body. That is something for him to decide for himself, if he would even want to in the first place, when he is older. We are merely the custodians of our son's body, not its owner.

    Parents need to put themselves in their children's place and imagine what it would be like to be tied down against your will, and have your genitals cut at with inadequate, or no, anesthesia at all. How can people subject a newborn infant to such a painful, inhumane practice and defend it? Especially when it would be assault if it was done, without their consent, to an adult.

    I think about circumcision this way... If I wouldn't want some one to mutilate and permanently damage my genitals, then why would my son want that done to him?

    Just because it seems "everyone" is circumcising their sons doesn't make it the right thing to do!!! I believe that the nontherapeutic use of circumcision on male minors should be against the law. Just as it is against the law to circumcise female minors. Circumcision is not a parental right.

    I feel a deep sorrow for any parent that has found out too late the truth about circumcision and the harm it causes, but I feel the most for the child that has no real choice but to submit to & survive through an experience I wouldn't wish on my worst enemy.

    10 out of 10 babies oppose circumcision. Shouldn't you?

    For more info about circumcision go to:

    www.jewsagainstcircumcision.com
    www.mothersagainstcirc.org
    www.circumcision.org
    www.noharmm.org
    www.nocirc.org
    www.cirp.org
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  6. One of the horrific complications of using the Plastibell method is having the ring slide down the shaft which strangulates blood flow. When not caught in time it can cause serious damage. The erect penis can have an Hour Glass shape because shaft skin is scarred at the slipped ring site thus not allowing for full expansion. Accompanied to this is usually a stitched area below this scarred skin ring where they cut open for the drainage tube. If you ever see an Hour Glass erect penis, now you'll know why.
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  7. I recently found out I was pregnant. We're unsure if it's a girl or boy but my husband and I have been talking about pro's and con's to getting this "painless" precedure done. I watched that video and I cried! My first born was thankfully a girl and if this baby is a boy I will NOT let any person talk me into this AWFUL procedure! Thank you for putting this out there. This has answered all of my questions! And if anyone has a problem with my decision I will send them your way! Everyone should see that video! That's awful! I don't understand how they can say he isn't in pain!!! Poor little guy...
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  8. Some doctors always try to market some "new" device that "doesn't hurt."

    Well, parents must be informed that circumcision is more than 1,000 years old. Don't you know that? There is nothing "new" about circumcision.

    This "new and safe" plasti-crap doesn't make mutilation any better. It wouldn't make FGM any better to perform it in "painless way" with a plastic spoon instead of a glass shard. Not even if they used anaesthetic in a hospital setting, by a trained "professional."

    People praise the plastibell. They've either never seen it, or weren't present. They have to cut the foreskin to fit the bell over the glans. Don't be fooled by the lie that "they never cut."

    Click on the link and check out plastibell flubs at the bottom.

    http://circumstitions.com/Restric/Botched7ex.html

    Heh-heh... "oops?"
    ReplyDelete
  9. my goodness
    that was almost too painful for me as a mother to watch
    Never before have i been more glad that i refused to let my son go through that.
    how calmly he states the risks of hemorrhage and infection, and injury to the penis.. like those arent worth worrying about!!!
    im slowly educating my family, day by day about why i was right to leave my son intact. Thank the Lord i have a supportive pediatrician who calmly told me (and my mother) that there was "No Medical Reason" i needed to , and therefore it was fine that id left him intact
    if only all docs were supportive!
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  10. It should be MANDATORY that in order to sign the form to give consent, parents should HAVE to watch these videos first. If I had known better I would not have circ'ed my first two. My 3rd is not. DO NOT DO IT! You will have NO REGRETS because you are not doing anything permanent. I have to live with such regret everyday. And it is horrible to know I put my son's through this.
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  11. @ Ejoey01 Are you sure the ring they left around your sons penis wasn't the frenulum? He's supposed to have that.
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  12. Thank God for Dr. Dean Edel. When I was a teenager he was on our local news with a health minute. He once described how there was absolutely no reason to have a baby circumcised and that uncircumcised is more pleasurable for the woman etc. This stuck in my mind and when I had my first born, a son, years later I remembered him and what he had said. I researched circumcision further since my husband was and had his first son done and said NO WAY! So all my son's are and will be intact!
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  13. my brother did NOT want his son circumsized because of these things and the mother did. well while they were still in the hospital, she sent him out on an errand, and while he was gone her family got the doctor and got it done anyway. he's a lot nicer than me. he said the doctors told him they stuck a glove in sugar and gave it to his son and then did it and he barely cried. no anger. honestly i woulda had to be escorted out if it were MY boy.
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  14. This is one of the most disturbing things I have ever seen. I can not watch more than the first few moments. I feel so overwhelmed that a baby, or anyone for that matter would be restrained in such a manner while such a procedure was done. This has to stop.
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  15. the plastibell is not a new device. My mum refused to be privy to this mutilation during the early 80's while working as a pediatric nurse. In fact it was her constantly relaying the screams she heard from these poor little boys that made me not even consider doing this to my son.
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  16. 7 Years ago I made the uneducated decision to have my baby boy circumcised. My husband was in Iraq but in no way opposed. Its the "thing to do". No questions. Well, a few weeks later I noticed a lump and took him to the pediatrician. She horrified us and told us it may be a cyst. As it would turn out, it was the amputated foreskin. It was growing back. Over the next few weeks, it grew completely back. Foolishly we took him to a urologist to have it redone(per pediatrician orders). We were so naive:'(. We consulted with the urologist, who told us outright it was cosmetic only and unnecessary. Me and my husband were uneasy hearing we would put our baby through major surgery for looks! We decided to do it anyway so he could "look like daddy". Ugh=/ That night he went to sleep as usual (I was up all night) 2 hours before we were set to leave for the hospital, we noticed he was warm. He had a 101 fever. The surgery was off...to my relief! We took him to the pediatrician who checked him out and even did blood work. Lo and behold, not a thing wrong with him!! I knew it was a sign! 7 Years later, he remains the same. We are expecting again again, and now we know better. Intact all the way!!!
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  17. That poor baby could just has well have been a cadaver cat on the table. I cannot believe there was no attempt to soothe the child, no anesthetic, no caring words or actions at all by anyone. The doctor simply ran through the procedure as if there was not a living being under the drape. Disgusting. Criminal. Inhumane.
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  18. This is sick why for any reason ,other than medical reasons, would you do that to anyone let alone a infant. What do people think its there for????
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  19. I almost threw up watching that, knowing that I put my baby through the trauma of circumcision. He didnt have his done like that though, and he was numbed prior to the procedure. I left the choice up to his father. My son had the foreskin pulled up and cut and he was done. There was no device or string or stitches. They told me I could come and see it being done and hold him as soon as it was over. I stayed in my room and waited for him to come back. The look on his face when he came back... He looked so mad at me. He was fine as soon as I started nursing him though.
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  20. Today we made the decision to canceled my son's surgery and I just watched this video I AM SO GLAD that we are living him intact ! I can't believe that this is so normal to people, babies feel pain just like we do! I am looking at my little guy and i feel like I saved him from this non sense .
    Thanks for posting this video!
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  21. PAIN: Nelson Mandela* said his circumcision pain was blinding white light of electrical fire that burned throughout all his veins.
    (*Xhosa tribe where the boy must eat his foreskin that his father hands to him)

    There absolutely no way to prevent all pain as there are many nerve pathways that go to the penis. Of the anesthetics out there consider these two medical studies:
    http://cpj.sagepub.com/content/25/8/412.abstract Neonatal Cortisol Response to Circumcision with Anesthesia
    (circumcision with local dorsal penile nerve block doesn't work.)
    http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2810%2961303-7/fulltext Oral sucrose as an analgesic drug for procedural pain in newborn infants: a randomised controlled trial

    A mother comments on her son's circumcision:
    http://bit.ly/ZDEfA Imagine having penile wounding that must be torn apart everyday for a year.

    2 men tell the pain of circumcision:
    http://bit.ly/mMoZR PAIN: 3,928 island villagers males&females all ages forced circ'd into Islam by Muslim clerics.
    ReplyDelete
  22. Wow. I watched that silently, for about 3 seconds before I had to stop it. Like a horror movie come to life. I felt so ill. I felt traumatized. I felt helpless. I want to cry. I want to run through the screen and rescue those helpless boys. But, I can't and it makes me so compelled to want to change this for other boys. When I tell others how I feel about it, I weep. I have never felt so motivated about somethign in my life - and I don't know why. My son is intact. I never imagined doing anythign like this to him, but I also never realized how many boys (and girls) have to go through something so in-human - such a horror to me. Tell me what I can do to stop it?
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  23. How to stop it! Be Forward and Brave.

    I send out bi-weekly links to various circumcision articles, mostly from drmomma.org, to all my contacts on facebook.

    When I give baby shower gifts, assuming it is BEFORE BIRTH, I wrap the present in my homemade breastfeed, cosleep, AP, anti-circumcision, baby-wear wrapping paper (acquired by downloading images found on google search and making a mosaic). I give as a part of the gift a page of links and phone numbers to local breastfeeding resources as well as a page of links and "gentle" information on reasons to stay intact and suggest they view the surgery before making a decision.

    On my email, I have an automated signature link about circumcision, with a strongly worded male genital mutilation title, in bold and red.

    I have on my voicemail, although shortened and to the point and less intense than I would like it to be, a blurp about how "no med org in the world recommends Circumcision. We don't cut baby girls so why do we mutilate our baby boys? Take your whole baby home, stop circumcision".

    I have purchased bumper stickers and placed on every side of my car and requested numerous of the free ones from TLChugger to add when received.

    I have flyers that I place into my car windows when in parking lots.

    I have a flyer affixed to the front of the Tricycle of my Daughter when we are out strolling about.

    Soon, should I find cheaper T-shirts or Iron On Decals (which can also be self made and the Iron On materials purchased at any craft store and your home printer can be used create them downloading jpg images from google Images OR make T-shirts from those drug store Kodak Photo Kiosks)

    I have made 3 * 4 inch laminated cards that I have sewn onto the back of my sling, very visible to all that are behind me in the checkout line. I have the same ones also on the tail of my sling in front.

    I print flyers, and drop them off in every restroom that I go to. I keep them in my sling pocket for quick and easy access. These, I have the "gentle" anti-circumcision cards so that if/when I see a pregnant mom, I hand it over to her. (use the draft setting setting of your printer to save ink, ink is expensive)

    Every bulletin board at every coffee house, bar, or colleges, laundromats, and parks, I place a flyer.

    Be active in those "online pregnant websites" and post informative information frequently. I tend to be headstrong, in your face, perhaps aggressive in my stance and views. Others, perhaps, can bring a gentle approach that I just don't have the patience for.

    Not every day, but about once a week, I "troll" for local websites from terminex to roofing to accountants and lawyers, sending requests to their online "contact me" buttons with a call me request. Then, the phone call forces them to listen to my voicemail. When they call a second time, I simply say I have found another person for the job. It is funny, a local drug store called me about my refill and they called like 15 times in 30 minutes, either hanging up on my voicemail intro or having all their colleagues listen to it, I don't know which. this has happened now several times.

    I have faced a few criticims and a few looks. Each day, it gets easier to handle them. If you were asked to cut your daughter and you knew better, you would let those looks roll of your back. So, think about those baby boys as the potential husband of your baby girl one day, and know what you are doing for him ... you are doing for your daughter as well as for your future grandchildren.
    ReplyDelete
  24. Another... What Can I do?

    Put a mini sticker onto your driver's license. And, on your credit card. Each time a clerk in a store must verify your id, they have a sign to read. (be sure to glue/stick the corner only for easy access to the necessary information)
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  25. Omg i'm crying I just watched the first video I couldn't even bear to watch the who's thing. I can't believe I did this to my son. My poor baby boy I had no idea. My dad and my brothers and my husband all have it. I'm so sorry. I can't believe I did it. I didn't even think about it. We breastfed and cosleep and cloth diaper. I'm such a horrible mother to have done that to my baby (he's 4 now and just asked me about it so I looked it up) he was my first and he got the worst of everything... I have a daughter and we didn't vax her (but we vaxed my son) and now this if I ever have another son I won't cut him. But there is nothing I can do to take back cutting him or vaxing him. I love my son mor than anything in the world. I don't know what to do... He's only 4 and I've already screwed him up.
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  26. To the last Anon - you aren't alone. I shared part of our story that is linked here with others - http://www.drmomma.org/2010/05/i-circumcised-my-son-healing-from.html - it isn't a lot, but in the process I know that we've helped to spare others from the same mistake we made. Maybe you can one day do the same and some healing will come from it.

    We can't change the past, but now that we know better, we can do better, and from here on out it matters more. :)
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  27. Once again, thank you. I found your blog originally while looking for info about not vaxing. I was ambivilant towards circumcision - it didn't agree with my religious beliefs (I'm Pagan), but my husband is a Christian and we agreed to do this parenting thing together. Then I found your article "He Didn't Cry: Babies in Shock" and it changed everything. Your information for Christians and changed my husband's mind. So any boys we have will be completely intact.

    As for this...I couldn't watch the whole first video, let alone the others. How can that doctor talk as if nothing is wrong, pausing as he explains what he's doing. How can you hear that coughing cry and not KNOW that you are causing anguish? I'm so disgusted with any doctor who performs this and thinks there is nothing wrong with it. Once again, I'm thankful for the information you've put out there. (and I have you on a list of my favorite blogs on my blog ^__^)
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  28. OMG that poor baby!!!! I never had an opinion on this even when I found out I was pregnant, I was having a girl. And then I saw a botched circ on my friend son :( that poor baby screamed and cried and it it looked so painful. I started doing research on the practice and am appalled!!! What kind of sadistic "doctor" would do this?! It's like the education system is giving out licenses to all the sick fucks that want to brutalize helpless babies!!!!! This is disgusting! I now know that I would NEVER get my sons circed!! I AM ALL IN FOR LEAVING FUTURE SONS INTACT!!!!!!
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  29. I couldn't get past the retraction, the screams... oh my I feel sick. I have a daughter but I already told my husband no way if we have a boy.
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  30. @ Liana When 1 parent wants to circumcise and the other doesn't and because it only takes 1 parent to consent, this means the boy has only 1 in 4 chances of keeping his foreskin. Changes to these consent requirements need to be changed for the boy's benefit.
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  31. i am a muslim paediatric surgen and i am against newborn circumcissions for many reasons. as you know we have to forcefully retract a virgin prepuce and its a very painful procedure. while i was working in dubai and i told that i will not do this crime , they said i am antisemetic. i also do circumcission for older children under general anesthesia and a caudal block to prevent post operative pain . i had a son i did his circumcission when he is six yr old , i explained the procedure and took his consent and we did it all care
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  32. This post was from the very day I found out I was pregnant w/ my son. While I never read this particular article before now, I give you thanks Dr. Momma, that my son is whole.
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  33. A six year old cannot provide informed consent. Age of consent is 18.

    Circumcising a child under proper anesthetic with or without his consent is sitll an attack on his person and completely unethical. Let your children decide for themselves once they have reached age of majority, don't force your religious practices on them.
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