A Comparative Study Of Gomco And Dorsal Slit Techniques In Male Circumcision

Background Gomco clamp (GC) and dorsal slit (DS) are common techniques of circumcision. We compared GC and DS regarding operative and postoperative outcomes, complications and revision rates in children who underwent circumcision under local anesthesia. Methods Between January 2017 and July 2023, 1488 patients who underwent circumcision using a GC or DS were analyzed. Age, presence of pathological phimosis, operation time, complications, revision surgery requirement, and family satisfaction score were evaluated. Results GC and DS were performed on 921 (62.6%) and 551 (37.4%) children, respectively. Age (5.8 ± 5.1 vs. 5.4 ± 5.3, p = 0.309) and presence of pathological phimosis (5.3% vs. 7.9%, p = 0.092) were not statistically significant differences between the GC and DS groups. The operative time was statistically significantly shorter in the Gomco clamp group compared to the DS group (9.88 ± 2.63 vs. 18.07 ± 4.11, p < 0.001). There was no statistical difference in the family satisfaction score between the two groups (8.7 ± 1.1 vs. 8.1 ± 1.7, p = 0.131). There was no significant difference between the two groups in overall grade 1, grade 2, and grade 3 complications. Conclusions The GC and the DS techniques have satisfactory results and acceptable complication rates in children who underwent circumcision under local anesthesia.