Welcome to the Gentle Procedures Clinic. On this site you will find information about circumcision for baby boys. Our goal is to make it simple for you to get the info and services you may require.
Infant circumcision is commonly done relatively early in the life of your son. Procedures completed in the first four weeks are considered newborn circumcisions and we offer circumcision for babies up to 4 months of age and for adult men ages 18 and up.
If you have taken the decision to have your son circumcised it is recommended to schedule the procedure as soon as possible in his young and new life.
You can contact Gentle Procedures Clinic to confirm our next available appointment in NB at our Fredericton clinic at 506-443-7623. Appointments are usually available quickly (within a few days).
We work hard to deliver quality care in a timely fashion.
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Gentle Procedures New Brunswick was founded by Dr. Kevin Christie and Dr. Neil Pollock.
Dr. Christie is known in Fredericton as a practitioner of family medicine as well as of baby circumcision. He has worked as an Emergency Department Physician in a Fredericton hospital and is an Associate Professor with Dalhousie University’s Faculty of Medicine.
Dr. Pollock is one of the most experienced circumcision providers in North America and Pollock Clinics has safely completed over 40,000 infant circumcisions. Infant circumcision is our specialty at Gentle Procedures.
Our medical team has been carefully trained by Dr. Pollock and we are proud to use the Pollock Technique™ in providing safe and simple access to infant circumcision in the Maritime provinces. Our doctor and nursing staff will support you after the circumcision surgery with a hotline for questions and detailed instructions on post-circumcision care for your baby son.
For full detail on the Pollock Technique™ circumcision method please visit the dedicated site page.
We also offer circumcision with the Pollock Technique™ for adult men.
The ideal age for circumcision is within the first two weeks of life, and we provide circumcision for babies of all ages.
The focused practice of our clinic permits us to optimize the overall experience for families.
Having served thousands of babies and families we have developed specialized systems and processes to offer these services.
You will receive detailed instruction on how to prepare your son for the brief circumcision operation. This includes how to best time feeding before surgery to maximize your babies comfort.
Babies will have Tylenol before and after surgery, and are given a sugary pacifier to distract and entertain them during the procedure. Some babies even sleep through the whole thing.
Guidance and follow-up continues afterwards, with written and verbal instructions on how to provide care after the circumcision. The goal is to minimize your child’s discomfort and promote healing.
You will be shown how to minimize the risk of infection and informed of warning signs to watch for in case of any complications. Our doctors are available by phone after surgery and will respond quickly to any questions or concerns.
Our procedure takes only one minute. We use extensive pain control methods like Tylenol, sugar solution (which has been shown to reduce pain perceptions), soothing music, topical freezing cream, padded baby holders, and local anesthetic injection.
We have low complication rates. Our clinic is designed to meet the needs of families for infant circumcision. Because of our focus on this procedures we are able to organize our clinic operations optimally for baby circumcision.
Complications are rare. Occasionally, there can be bleeding from the circumcision many hours after the procedure. This is treated by putting some pressure with a gauze on the penis for 2-3 minutes to close the oozing blood vessel. (This will be demonstrated to you by our staff).
Very rarely, more serious bleeding can occur which may require a visit to the hospital. Infection is also a possible complication. It is extremely rare and can be associated with redness, pus, and a foul smell from the circumcision. It is treated by putting Polysporin five times a day on the penis which usually resolves any infection within one or two days.
Suboptimal cosmetic result is another possible but very infrequent complication.
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Canadian parents undertake a circumcision procedure for their son in order to fulfill cultural and religious traditions, as well as to seek improved health outcomes for their children.
Some parents decide to circumcise their son for cosmetic and personal reasons.
It is important to make an informed decision, and we encourage you to read the information on this site and others as part of your information gathering and decision making process.
There are many potential benefits from baby circumcision:
It is well known that microorganisms accumulate under the foreskin which fosters inflammation which can lead to conditions such as balanitis/balanoposthitis (inflammation of the head of the penis). The incidence of balanitis is twice as high as those who are uncircumcised. Smegma, which is a cheesy like secretion, can also accumulate under the foreskin combining with bacteria to produce an offensive odor.
Because microorganisms can accumulate under and adhere to the foreskin, bacteria has a greater chance of migrating up the urethra causing urinary tract infections (UTIs) especially in infancy. Studies suggest an over 10-fold decrease in risk of urinary tract infection in circumcised infants. UTIs are a potentially painful and dangerous condition as it can result in kidney inflammation and scarring. Studies suggest that the protective effect of circumcision against UTIs when done as a newborn continues into adulthood.
Phimosis is a condition where the foreskin becomes so tight that it cannot be pulled back fully, resulting in UTIs, local skin infection, pain when passing urine, retention of urine, kidney stones, and sexual dysfunction. Circumcision eliminates the risk of phimosis, which affects 1 in 10 older boys and men.
While the procedure performed at our Fredericton clinic can be considered routine and low risk, there is always some degree of risk with any surgery. Potential problems include:
Bleeding after circumcision – In 1 in 500 circumcisions there may be some bleeding that is usually stopped with pressure or less commonly with stitches. If a bleeding disorder such as hemophilia is present, then our doctors will need advice from a pediatric hematologist prior to proceeding.
Infection – There is always a possibility that there could be a generalized infection requiring antibiotics after the surgery (1/4000). Serious infections are rare (1/5000).
Concealed penis – When there is a good amount of fat around the penis (pubic fat), the penis may retract inward and increase the chances the penis gets partially buried and requiring medical intervention (1/800).
Meatal stenosis – This is a narrowing of the urethra that may occur after the procedure requiring medical intervention (1/1000).
Phimosis from circumcision – This is a narrowing of the shaft skin opening over the head of the penis requiring medical intervention (1/500)
Trauma resulting in permanent damage to the head of the penis (never in our practice)
Suboptimal cosmetic result (1/500)
More serious complications including death (never in our practice).
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