Correction of hidden penis during Gomco clamp circumcision in the office

Carlos A Villanueva; Daniel Salevitz

doi:10.1016/j.jpurol.2023.12.002

Correction of hidden penis during Gomco clamp circumcision in the office

J Pediatr Urol. 2024 Apr;20(2):323-324. doi: 10.1016/j.jpurol.2023.12.002. Epub 2023 Dec 6.

Authors

Carlos A Villanueva¹, Daniel Salevitz²

Affiliations

¹ Division of Urology, Phoenix Children's Hospital, USA. Electronic address: cvillanueva.uro@gmail.com.
² Urology Department, Mayo Clinic, Arizona, USA.

PMID: 38129273
DOI: 10.1016/j.jpurol.2023.12.002

Abstract

Hidden penis is considered to be a contraindication for clamp circumcision due to high likelihood of healing with concealment. A new technique was created for penoscrotal skin tacking during Gomco circumcision, where the sutures are placed externally instead of internally. Of 716 boys who did not have penoscrotal skin tacking performed, 11 (1.5%) developed concealment. None of the 57 boys who had penoscrotal skin tacking developed concealment. Adding just a couple of minutes to the procedure and with no documented side effects, external penoscrotal skin tacking during Gomco circumcision appears to be a promising addition to the pediatric urology armamentarium.

Keywords: Ambulatory procedures; Circumcision; Hidden penis; Outcomes.