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The Mogen Clamp |
Although circumcision with a Mogen clamp has been reported as easy,
quick, and safe, and is being taught in a number of centers, it may be that
some children, particularly those with smaller organs or those with redundant
foreskin, should not be considered as candidates for the use of this device.
Although this may be an isolated event, as there is a reluctance to report
adverse occurrences, the true risks of this device are not known.
CASE REPORT: A one day old baby with what was described as a relatively small
penis and a "considerable but not abnormal amount" of redundancy of his foreskin
was circd by a very experienced pediatrician "who had performed over
2000 previous circumcisions, over 250 using the Mogen clamp." When the clamp
was removed, it was discovered that the tip of the penis, including the urethral
opening, had been amputated. Surgery immediately followed and the severed
tip was reattached. The reattachment was successful. On a follow up exam,
two years later, they found the boy with a minimal cosmetic defect, functioning
normally.
Reference
Strimling, Bruce S., Partial amputation of glans penis during Mogen clamp
circumcision, 06/01/96, Pediatrics, Page 906, American Academy of Pediatrics
Retrieved from the Wallstreet Journal at http://www.wsj.com/
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