Gomco

Gomco refers to a brand of medical devices used to perform male circumcision, most notably the Gomco clamp. The device is designed for neonatal circumcision and is widely described in medical literature as one of the standard methods for removing the foreskin in newborns and infants.

The Gomco clamp comprises a bell-shaped metal cone that fits over the glans penis, a base that sits against the shaft, and a securing mechanism to hold the foreskin in place during the procedure. A protective shield is used to minimize contact with the glans. During use, the foreskin is drawn over the bell, the clamp is positioned to expose the intended incision, and the tissue is removed. The clamp then compresses the surrounding tissue to reduce bleeding, and the device is typically left in place for a short dwell period before removal and healing.

History and usage: The Gomco clamp was introduced in the mid-20th century and became a widely adopted method in hospitals, particularly in North America, alongside other approaches such as the Mogen clamp and the Plastibell device. Variants and improvements have continued to be developed by medical device manufacturers, and the Gomco technique remains in use in various settings around the world.

Safety and considerations: Like other circumcision methods, the Gomco procedure carries risks such as bleeding, infection, injury to the glans or urethral opening, and, in rare cases, more substantial injury. When performed by trained clinicians following established sterile technique and patient-specific considerations, reported complication rates are generally low. The procedure remains a subject of ongoing medical, ethical, and cultural discussion in many regions.

See also: Circumcision methods, Mogen clamp, Plastibell.