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 upto 6 months of age, and for boys and adult men ages 12 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.
Circumcising Your Infant at Our Clinic in Fredericton
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 for 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.
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.
Preparing Your Baby Boy for Circumcision
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.
Circumcised Baby Follow Up
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.
The best time is between 7-28 days of age, although circumcisions are done at Gentle Procedures NB for babies up to 6 months, boys & teens aged 12 and up, and men of any age. Since newborn babies are less aware, recover faster, and the risk of complications is lower, families should try their best to have circumcision done as close to this time period as possible. However, it is common for a variety of reasons that circumcision will be done at a later time.
Our clinic founder, Dr. Pollock, has published a study that shows our pain control process is highly effective. Many babies can sleep right through the entire under 60 second procedure. Most babies experience little or no pain at all.
It is not unusual for a baby to sleep 6-8 hours after the procedure and to miss a feeding. Some babies will be irritable for a number of minutes to hours afterwards. Behaviourally, most babies are back to themselves by the next day or two.
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.
No. If you are booking for your son, it is a parental decision and we only require consent from both parents to proceed. You may book online directly or give us a call anytime at 506-443-7623.
Potential Benefits of Infant Circumcision
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:
Improved genital hygiene
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.
Reduced risk of urinary tract and bladder infections
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.
Reduced risk of phimosis after circumcision
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.
Reduced risk of penile cancer
Studies have shown an over 20-fold reduction in the risk of invasive penile cancer which is thought to arise from adherence of high-risk human papillomavirus to the foreskin and smegma causing chronic inflammation and recurrent infections resulting in phimosis. Invasive penile carcinoma is highly associated with a history of phimosis.
Reduced risk of prostate cancer
Uncircumcised men have a 1.6-2.0-fold higher incidence of prostate cancer, which is thought to correspond with a higher chance of sexually transmitted infections resulting in a chronic state of inflammation.
Reduced risk of HIV/AIDS
Circumcision reduced the risk of getting HIV/AIDS by 3-fold during sex with an infected woman. This is because the HIV virus enters through the inner lining of the foreskin which is thin and vulnerable. Ulceration and tearing are also more common in uncircumcised men, adding to the risk of HIV entry.
Reduced cervical cancer in women
Circumcision reduced cervical cancer risk of a man’s female partner by 5.6 times as there is less risk of adherence and colonization of human papillomavirus.
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).
We are now open for all procedures and consultations at our clinic.
However, we will not be able to accept patients from outside of New Brunswick until the Atlantic Bubble re-opens. Out-of-province patients can please contact us once the Bubble re-opens and we would be happy to schedule your appointment.
Please contact our clinic to learn more about our new protocols and to make an appointment (NB residents).