Consideration | Mogen | Gomco | Plastibell |
Bleeding | Similar risk (1.0%). | Similar risk (1.0%). | Similar risk (1.0%). Associated with injury to the frenulum during application of the bell and/or loose ligature. |
Urethral injury | Reduced risk.* | Increased risk (dorsal slit routinely required). | Increased risk (dorsal slit routinely required). |
Penile laceration/amputation | Increased risk (glans may not be protected). | Increased risk (related to mismatching device parts). | Reduced risk. |
Urinary retention, bladder rupture, injury from retained parts | No risk (no retained parts). | No risk (no retained parts). | Increased risk if bell of wrong size is used, as it can slip back on to shaft of penis, causing gangrene, urinary retention and bladder rupture. |
Buried glans | Increased risk if surgeon does not free glans. | Similar risk. | Similar risk. |
Other comment | Penile amputations can occur even under ideal circumstances. | When matching non-defective parts are used there is essentially no risk of injury to the glans. | Complications from retained parts can occur even under ideal circumstances. |
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