Out Comes of Circumcision with Gomco Method Versus Mogen Method

Imran  Qadir; Saroosh  Fatima; Haji  Muhammad; Masood  Mehmood

doi:10.29054/apmc/2022.1002

Imran Qadir Assistant Professor Pediatric Urology, Children Hospital, Faisalabad Pakistan
Saroosh Fatima Woman Medical Officer Pediatric Urology, Children Hospital, Faisalabad Pakistan
Haji Muhammad Medical Officer, Pediatric Surgery, Children Hospital, Faisalabad Pakistan
Masood Mehmood Resident Medical Officer, Department of Pediatric Urology, Children Hospital, Faisalabad

DOI: https://doi.org/10.29054/apmc/2022.1002

Keywords: Circumcision, Gomco method, Mogen method

Abstract

Background: Circumcision is the complete or partial excision of preputial skin of the penis in male. There are multiple methods to perform circumcision. Gomco and Mogen both methods are widely used for circumcision and both have their own advantages and disadvantages. This study was performed to explore the more suitable option for circumcision.

Objective: To compare the outcomes of circumcision with Gomco method and Mogin method.

Study Design: Comparative study.

Settings: Pediatric Urology Department of Children Hospital, Faisalabad Pakistan.

Duration: From January 2019 to October 2020.

Methodology: Three Hundred and Forty (n=340) male patients. Inclusion criteria of study was age from one month to twelve years were enrolled for study, who have normal sized penis with no hypospadias, chordee and normal bleeding and clotting profile. According to exclusion criteria the children with balanitis Xerotica Obliterans and redo circumcision were excluded from the study.

Results: Parents of 150 patients (88.23) out of 340 of Gomco procedure while parents 110 patients (64.71%) with Mogen procedure were cosmetically well satisfied respectively. Duration of procedure was measured came out as Gomco prolonged mean time was 13 ± 2.1 minutes and Mogen prolong mean time was 10 ± 1.7 minutes. Complication observed in procedures are following, there were more bleeding in Gomco six patients (3.5%) while in Mogen it was one, two patients (1.18%). There was not any incidence of inclusion cyst and hematoma in both groups. In Gomco group about 20 patients (11.76%) developed penile oedema while in Mogen group 18 patients (10.58%) developed penile edema. In Gomco group only 15 patients (8.82%) had redundant skin while in Mogen group. 23 patients (13.52%) had redundant skin which is significant.

Conclusion: Circumcisions with the Gomco and Mogen Method have their own pro and cons. Cosmetic acceptance is better in Gomco then Mogen method. Time duration and complexity was observed in Gomco while Mogen is simpler and less time consuming. While chance of bleeding is greater in Gomco than Mogen.