Neonatal and Infantile Circumcision using Mogen Clamp: Experience at a Teaching Hospital

Abstract

Aim: To establish the clinical effectiveness of Mogen clamp, an infrequently used circumcision device, in terms of outcome and complications. Method: This was a descriptive case series done in Government Said Mitha Teaching Hospital, Lahore. 240 neonates and infants (age up to one year) were circumcised from October 2016 to October 2017 using Mogen clamp. Patients were divided into neonates and infants. Variable of interest were post operative bleeding, need of suturing and adequacy of circumcision. Results: Post operative bleeding was seen in 25 patients (10.4%) out of which 12 (5%) had bleeding immediately after surgery while 13 patients (5.4%) had bleeding within 01 hour of surgery. Under circumcision was seen in 7 patients (2.9%) while over circumcision was seen in 5 patients (2.1%) and required suturing. Overall sutures were applied in 26 patients (10.8%) either for control of bleeding or for over circumcision. No incident of glanular or urethral injury occurred. Conclusion: Circumcision with Mogen device is safe, reliable, and easy to perform procedure in clinical settings with much less complication rates.