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ORIGINAL ARTICLE
Year : 2019  |  Volume : 6  |  Issue : 3  |  Page : 116-121

Experience with Gomco Clamp circumcision in male neonates: technique and review of the literature


1 Department of Surgery, College of Health Sciences, University of Abuja; Division of Urology, University of Abuja Teaching Hospital, Abuja; Department of Surgery, Garki Hospital, Abuja, Nigeria
2 Division of Urology, University of Abuja Teaching Hospital, Abuja, Nigeria

Correspondence Address:
Dr. Terkaa Atim
Garki 900001, FCT Abuja
Nigeria
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DOI: 10.4103/ssajm.ssajm_25_19

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Introduction: Neonatal male circumcision is routinely carried out in most places in Nigeria, sub-Saharan Africa. The main reasons why parents bring their sons for circumcision are religious and cultural with a few medical indications like phimosis, paraphimosis and balanitis also being noted. Several techniques of this age long practice have been described and options range from the non-device to device techniques. Circumcision with the Gomco clamp (GC) is not yet as popular in this part of the world even though it has been reported to be safe. Aims and Objectives: To describe our experience and technique using the gomco clamp (GC) for neonatal male circumcision in our environment. Materials and Methods: A retrospective study of 63 newborn boys whose parents gave consent and who were assessed and found fit for circumcision from August 2015 to November 2015 was carried out. They all had circumcision by the same surgeon using gomco clamp at Garki hospital Abuja, Nigeria. Data obtained from patients’ medical records included age, indication, size of gomco clamp and any procedure related complications. They were followed up at 6weeks in the surgical outpatient clinic and then 1year by telephone call to their parents. Results: The average age of the male neonates at circumcision was 10.8 +/- 4.38 days (range from 6 to 26 days) and median age 8days. The indications for circumcision were religion (43, 68%) and cultural (20, 32%). The only early procedure-related complications observed was mild bleeding in two (3.2%) boys and this succumbed to simple pressure. Long term complications included one (1.6%) each penile skin bridge following adhesions between the prepuce and glans and redundant foreskin which were corrected by free hand dorsal and ventral slit circumcision at 8months. Conclusion: Male circumcision can be performed at any age, but there are cost and safety benefits of doing this procedure during the neonatal period. Circumcision using the Gomco clamp (GC) is simple to learn.


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