Analyzing a Pediatric Circumcision Procedure Resulting in Penile Damage

Case Overview

This case study revolves around an incident involving a male newborn who underwent a circumcision procedure. The pediatrician performing the operation used a 1.3 cm Gomco clamp and inadvertently drew in excessive shaft skin while leaving out significant inner foreskin.

This error led to penile damage, necessitating a reconstructive procedure. This case focuses on the quality of the circumcision procedure performed by the pediatrician, with particular emphasis on their use of the Gomco technique.

Questions to the expert and their responses

What percentage of your circumcision procedures are performed utilizing the Gomco technique in newborns? Please estimate the number of procedures completed with this technique, if possible.

As a newborn hospitalist with over 25 years’ experience, I exclusively use the Gomco Technique for all my circumcisions.

What are some effective procedural approaches or other methods to prevent penile damage when performing circumcision procedures utilizing the Gomco technique?

One of the most effective ways to prevent penile damage during circumcision using the Gomco technique is through careful review and assessment of both penile and foreskin size. This allows for an accurate determination of how much foreskin should be removed.

About the expert

This expert is a board-certified pediatrician with over two decades of clinical experience. They have undergone extensive training, including a residency at a renowned general hospital and fellowship training at a prestigious medical school. Currently serving as an attending physician and clinical associate at two hospitals, they previously held positions as a clinical instructor, assistant professor of pediatrics, and director of newborn nurseries at a major general hospital.