At Gentle Procedures Clinic we use the Pollock Technique™ for circumcision.
Dr. Christie has trained with Dr. Neil Pollock at his clinics, and has been certified in the use of this circumcision surgery technique for all ages.
Extensive pain control methods are employed, including Tylenol, sugar solution (which has been shown to reduce pain perception), soothing music, topical freezing cream, padded baby holders, and a long acting local anesthetic.
The Pollock Technique™ delivers a virtually painless circumcision procedure for babies, boys, and men of all ages. Gentle Procedures NB offers procedures for babies up to 1 year and boys and men aged 12 and up.
Contact us for more information or to schedule an appointment, and please read on below for detail on our virtually painless circumcision method.
Is Pollock Technique™ Circumcision Like Plastibell?
The Pollock Technique™ can be used for babies, boys, and men of all ages, and consists of using a Mogen shield under long-acting local anesthetic.
The Pollock Technique™ circumcision operation takes only one minute for newborns. This is different from the Plastibell circumcision procedure where an infant circumcision requires 10 minutes to affix the Plastibell device to the baby’s penis and it remains in place for up to 7 days.
Extensive pain control methods are employed for infant circumcision; including infant Tylenol, sugar solution (which has been shown to reduce pain perception), soothing music, topical freezing cream, padded baby holders, and a long acting local anesthetic.
Older boys and adult men also benefit from multiple local anaesthetics to ensure a virtually painless procedure.
Please contact us anytime with your specific questions about our circumcision method, or to book an appointment.
It is best to have finished feeding your son just before bringing him into the office, so that your baby will not be overly hungry while you are waiting in the office. If your baby is hungry when you arrive, you can feed him at any time during your visit.
Please read on to learn about the multiple steps we will take to minimize your baby’s discomfort during the short infant circumcision procedure. Our doctor will take good care of your son and you will be present the whole time.
You will be at our Fredericton circumcision clinic for just over an hour, and we want to make that time as pleasant as possible.
All the following steps are taken to ensure your son has minimal discomfort during the procedure.
Baby Tylenol Just Before You Come to the Clinic
First, give your son Tempra or Tylenol drops (also called acetaminophen) just before you leave home or, if you are traveling a long distance, after you arrive at the clinic. Infant acetaminophen drops usually come in a concentration of 80 mg/1 ml (check the bottle that this is the correct preparation). The proper dose for his weight is shown in the table below.
¾ ml (60 mg)
1 ml (80 mg)
1¼ ml (100 mg)
1½ ml (120 mg)
1¾ ml (140 mg)
2 ml (160 mg)
If you are uncertain of the proper dose after reviewing this, please wait for us to advise you at the clinic and give it there.
Please do not give any other medication besides Tylenol or Tempra (i.e., No Ibuprofen, Advil, Motrin, etc.) because it may increase bleeding time.
Anesthetic Cream to Numb the Skin
In our office, your child will have topical anesthetic applied to his penis. This is an anesthetic cream that numbs the skin. This surface painkiller is the second step we take to minimize discomfort during circumcision. This stays on for 20-30 minutes.
Pain Blocking Injection – Local Anesthetic
Next, once the skin is numb, your son will be given an injection called a dorsal penile ring block into the soft tissue alongside the penis. Our doctors use a combination block of both short and long acting anesthetic. This provides comfort and coverage for both the procedure and for hours after. Since the topical anesthetic has already numbed the skin, the injection is hardly felt. After 7-8 minutes, the penis is “frozen”, and the circumcision can be done.
Sugar Pacifier During the Brief Circumcision Operation
During the injections and the circumcision, your son will receive a sugar pacifier to suck on. Ten minutes after the injection, the penis is fully desensitized and the circumcision can be done. During the circumcision soothing music is played, room temperature is increased and your son may continue to receive sugar pacifiers to suck on for additional comfort. Studies show that the sweet flavours distract babies and reduce their perception of pain.
Caring Team Always Available
Although the circumcision takes about one minute, we request that you be in the clinic for about one hour and fifteen minutes in total, so that we can carefully review with you all post procedure care and answer your questions before you take your child home.
As parents ourselves, we understand that safety concerns are always number one. For your peace of mind, your doctor will be available 24 hours a day. All clients are given our 24 hour contact information so they can reach the doctor directly should any concerns arise.
The three images below show the change in your baby boy’s penis brought about by circumcision.
1. A profile of the uncircumcised penis with the foreskin covering the glans (head of the penis).
2. The same penis as in Figure 1 but drawn as if the foreskin was transparent. Here you can see the foreskin in relation to the inner side of the foreskin and the glans. Notice the adhesions along the inner side of the glans. These are present at birth in almost all babies and must be released before the actual circumcision.
3. The same penis following the circumcision. Notice that the cut edge of the skin retracts to just behind the back rim of the glans. This is the site of healing.
Our Circumcision Method and Pain Control Approach
The Pollock Technique™ used by Dr. Christie is based on the Mogen technique. This technique is known for its quickness and safety.
In conjunction with this technique, our circumcision doctor uses extensive pain control method. This ensures that your son will feel little pain.
The objective of the Pollock Technique™ is to minimize stress on the infant and family via effective pain control and a quick and simple procedure.