Neonatal Male Circumcision Using the Gomco Device in Nigeria
Journal Title: Journal of Medical Research and Practice - Year 2017, Vol 6, Issue 3
Abstract
Background Neonatal male circumcision is routinely carried out in most places of Nigeria, sub-Saharan Africa. The main reasons why parents bring their sons for circumcision in Nigeria 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 device is not yet as popular in this part of the world even though it has been reported to be very safe. Aims and Objectives We sought to describe the use of the Gomco device for neonatal male circumcision practiced in our environment as well as describe the patient characteristics. Materials and Methods 61 newborn boys who were assessed and found fit underwent the circumcision procedure from Aug 2016 to Oct 2016 using appropriately sized Gomco clamp at Garki hospital Abuja. Their parents also gave consent. Data obtained from patients’ medical records included age, indication, size of Gomco clamp and any procedure-related complications. They were followed up at 6 weeks and then 1 year after the procedure at the surgical outpatient unit. Results The average age of the male neonates at circumcision was 10.8 ± 4.38 days (range from 6 to 26 days) and mode 8 days. Religion was the indication in 42 (69%) cases while the remaining 19(31%) indicated culture as their reason for circumcision. Two patients had mild bleeding which succumbed to simple pressure and a case of penile skin bridge following adhesions between the prepuce and glans was noted. There was a case of redundant foreskin which was corrected by free hand dorsal and ventral slit circumcision at 8 months. 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 is simple to learn and safe.
Authors and Affiliations
Atim Terkaa
Keywords
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