Welcome to Gentle Procedures Clinic.
This page focuses on infant and baby circumcision so please visit the adult circumcision page if you need information on that procedure.
Infant circumcision is commonly done relatively early in the life of your son. Procedures completed in the first four weeks are considered newborn circumcisions.
Gentle Procedures circumcision clinic offers virtually painless circumcision with the Pollock Technique™ for babies up to 12 months of age, and for men over 15 year of age.
You can contact us to confirm our next available appointment at 647-568-1512.
Appointments are usually available quickly. We work hard to deliver quality services in a timely fashion.
Our experienced medical team will strive to exceed your expectations for circumcision care. For full detail on the Pollock Technique™ circumcision method please visit the Our Method page. For information on what to expect during and after a baby circumcision please see below.
The focused practice of our clinic permits us to leverage our experience with circumcision procedures, as well as organize our clinic operations around the goal of delivering a good overall experience.
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.
We really are gentle.
The ideal age for circumcision is within the first few weeks of life, and we provide circumcision for babies at any age.
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.
Because the topical cream will have numbed the skin, the injection step (next) will cause little to no discomfort.
Then, 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.
The penis will become fully numb within 10 minutes and then the circumcision can be done.
While the circumcision is being performed, we will give your baby a sugar pacifier which will reduce his pain perceptions.
Studies show that the sweet flavours distract babies and reduce their perception of pain.
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 doctor is available by phone after surgery and will respond quickly to any questions or concerns.
The circumcision itself will require less than 30 seconds, however your appointment in our office will be one hour and fifteen minutes which will allow us to review post-circumcision care with you as well as answer any questions that you may have.
Please feel free to contact us now if you have any questions.
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 procedure we are able to organize our staff and clinic operations 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 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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In East GTA
Ontario 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.
The important thing is to make an informed decision that you will be happy with.
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.
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.
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.
While the circumcision procedure performed on babies at our clinic can be considered routine and low risk, there is always some degree of risk with any surgery. Potential problems include:
Toronto East - Scarborough Circumcision Clinic