Selecting the ideal circumcision method is essential, and should only be performed by an experienced surgeon. Different techniques exist such as a dorsal slit and Gomco clamp.
The Gomco clamp is one of the most common and secure methods for circumcision in babies, as well as being quick and effortless to perform.
Dorsal Slit
The Dorsal Slit circumcision method is a less invasive way to address tight foreskin conditions like phimosis and paraphimosis. It’s safe, straightforward and highly effective with minimal risk involved.
This less invasive alternative to a full circumcision is ideal for men who may not be suitable for such an operation due to age, body shape or medical problems. Furthermore, the procedure is less painful than a full circumcision and can be completed in less than 30 minutes.
The Dorsal Slit is performed by identifying the corona of the preputial glans and making a cut (known as the dorsal slit) up to this line. Subsequently, you will crush your foreskin using artery forceps to reduce bleeding.
Gomco Clamp
Gomco clamp circumcision is a safe and effective method for neonates and early infants; however, it should not be used on older neonates due to the risk of postcircumcision bleeding and associated morbidity.
Before performing a Gomco circumcision, the urogynecologist inspects the baby’s anatomy to rule out any anatomic variations which might prevent this procedure. Examples include short penile shaft or hypospadias.
To avoid complications, it is essential to use the correct size clamp for each patient. This should be determined by observing the baby’s anatomy and whether its glans penis extends beyond 1 cm in length.
Gomco clamp circumcision involves positioning the bell on a base plate and tightening a screw nut that compresses the foreskin between it and the plate (Figure 4). Once complete, unscrewing the nut releases the bell from its mounting.
Mogen Clamp
Rabbi Harry Bronstein invented the Mogen Clamp circumcision method in 1954. This fast and disposable device protects the glans during circumcision, minimizing injury to this area of the body.
This device is safer than the Gomco clamp because it is sterile. Furthermore, treatment time with this device is much shorter than with Gomco or Plastibell methods.
Another beneficial feature of the Mogen clamp is that it does not leave a foreign body at the site of circumcision, decreasing the risk of infection and pain. This is especially beneficial since children may become anxious during this procedure and experience crying fits.
The Mogen clamp was associated with fewer minor adverse events than Plastibell (P0.05). These included too little skin removal and formation of bridges or adhesions on either arm, but there were no major adverse events reported in either group. Furthermore, infants who underwent the Mogen clamp procedure reported higher family satisfaction rates (P0.04).
Plastibell
Male circumcision centre is a commonly performed surgical procedure in childhood. There are various methods that can be used, some more successful than others.
When selecting the ideal method for your baby, several factors must be taken into consideration: their age and medical history.
Second, the child’s desire for surgery plays a significant role in how much discomfort they endure. A boy who actively requests the operation will experience less discomfort than one who doesn’t request it or refuses it.
Third, the doctor’s experience and training are vital. A surgeon or physician can better assess a child’s needs and suggest an effective fat pad technique.
The Plastibell technique utilizes a tourniquet to restrict blood flow to the foreskin. The device is placed between the glans and foreskin, then an elastic ligature of moistened suture is tied tightly around its protective ring.
