It is best to have finished feeding your son just before bringing him into the clinic, 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 for 15 minutes as soon as you get to our clinic location in Vancouver or New Westminster.
The Circumcision Process
All the following preparatory steps are taken to ensure your son is as comfortable as possible during the procedure. You will see that four different actions will be taken to provide the optimal experience for your child.
Baby Tylenol Before You Come to the Circumcision Clinic
We will have you give your infant son 1 ml of Tempra or Tylenol (also called acetaminophen) just before you leave home. Please do not give any other medication besides Tylenol or Tempra (i.e. No Ibuprofen, Advil etc.) because it may effect bleeding time.
Topical Anesthetic Cream to Numb the Penis
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.
Local Anesthetic for the Genital Area
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. Dr. Pollock has developed 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.
Comfort and Distraction During Circumcision
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 will receive sugar pacifiers to suck on for additional comfort. Studies show that the sweet flavours distract babies and reduce their perception of pain.
The combined effect of three different pain reducing steps with the careful control of the environment and the sugar pacifier is to deliver a soothing circumcision experience for baby and parents.
- On the day of your son’s circumcision, we recommend that you feed your baby just before your leave your home to ensure comfort in our office.
- You should give your son 1 mL of Tempra or Tylenol. Do not give Motrin, Aleve, Advil, Ibuprofen etc.
- If your baby is hungry when you arrive, you can feed him for 15 minutes as soon as you arrive.
- Please also remember to bring 2 receiving blankets.
- If one partner is not coming, a written note from him/her will be required consenting to have circumcision performed. ***Click here to print a consent form or you can copy this on a hand written note***
- Circumcisions are performed in groups of 5-6 families; as a result, please be on time out of respect for other families.
Please note that we do not have enough space for more than the 2 parents and the baby. Please make arrangements to have brothers and sisters and relatives at home as best as you can, or have 1 parent bring them into the hallway or lobby downstairs after registration so they do not disrupt other families.