Correction of hidden penis during Gomco clamp circumcision in the office.

Hidden penis is considered to be a contraindication for clamp circumcision due to high likelihood of healing with concealment. A new technique was created for penoscrotal skin tacking during Gomco circumcision, where the sutures are placed externally instead of internally. Of 716 boys who did not have penoscrotal skin tacking performed, 11 (1.5%) developed concealment. None of the 57 boys who had penoscrotal skin tacking developed concealment. Adding just a couple of minutes to the procedure and with no documented side effects, external penoscrotal skin tacking during Gomco circumcision appears to be a promising addition to the pediatric urology armamentarium.