At the Gentle Procedures Ottawa circumcision clinic, we use the Pollock Technique™ for procedures for all ages of babies, boys, and adult men.
The detail below focuses primarily on infant circumcision, so please visit the adult circumcision page or the teen circumcision page if you would like more information on circumcision at an older age.
Extensive pain control methods are employed for infant circumcision; including acetaminophen, sugar solution (which has been shown to reduce pain perception), soothing music, topical freezing cream, padded baby holders, and a long acting local anaesthetic injection.
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.
Doctor Mohamed Slim’s Method – The Pollock Technique™
The Pollock Technique™ can be applied for circumcision of babies, boys, and men of all ages, and consists of using a Mogen clamp under long-acting local anaesthetic. This method is quite different from the plastibell procedure in that it is faster and there is no device left attached to the penis after the surgery.
Doctor Mohamed Slim performs Pollock Technique™ circumcisions for infants, babies, boys, teens, and adults. The Pollock Technique™ circumcision operation takes only one minute for newborns – and this is many times quicker than other circumcision methods. 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.
We feel that Pollock Technique™ circumcision is among the most comfortable procedures practiced in the world today. Only local anaesthetic is needed and recovery time is relatively fast. Our method is quicker than some other procedures, and has been proven over the past 25 years and 50,000 procedures. This is one of the reasons why so many Ottawa area doctors refer their patients to our circumcision clinic.
Gentle Procedures Ottawa Circumcision Procedure
We recommend that you finish feeding your baby prior to coming into the clinic so that he will not be too hungry while you are waiting for the procedure. If your son is hungry upon your arrival, it is ok to feed him within 15 minutes of your arrival to the clinic.
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 Ottawa 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.
Infant Acetaminophen Before You Come to the Clinic
Before you leave home, give your baby infant acetaminophen. Do not use other medications such as ibuprofen or aspirin because these may affect bleeding time. 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 medications (no ibuprofen, aspirin etc.) because these may increase bleeding time.
Anaesthetic Cream to Numb the Skin
In our office, your child will have topical anaesthetic applied to his penis. This is an anaesthetic cream that numbs the skin. This surface painkiller is the second step we take to minimize discomfort during circumcision.
Pain Blocking Injection – Local Anaesthetic
Next, once the skin is numb, your son will be given an anaesthetic injection called a dorsal into the soft tissue alongside the penis.
Doctor Mohamed uses a combination block of both short and long acting anaesthetic. This provides comfort and coverage for both the procedure and for hours after.
Since the topical anaesthetic has already numbed the skin, the injection is hardly felt. After 6-10 minutes, the penis is numb, 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 less than 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 we understand that safety concerns are always number one.
For your peace of mind, Doctor Slim will be reachable 24 hours a day.
All clients are given our 24-hour contact information so they can reach the doctor directly should any concerns arise.
You will receive detailed instructions for care of your son in the days after circumcision, and you may wish to go ahead and preview some of this information now on the Aftercare page on this website.
The Penis Before & After Baby Circumcision
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. Please see the Post Circumcision Care page for full detail on the healing process and frequently asked questions.
Our Circumcision Method and Pain Control Approach
The Pollock Technique™ used by Dr. Slim is based on the Mogen technique. This technique is known for its quickness and safety. In conjunction with this method, our circumcision doctor uses the most complete and extensive pain control methods available. This ensures that your son will feel little or no pain at all. The objective of the Pollock Technique™ is to minimize stress on the infant and family via maximum pain control and a quick and simple procedure.
Methods Used by other Ontario & Quebec Circumcision Doctors
Gentle Procedures Clinic uses the Pollock Technique™ for all circumcisions. Other doctors and clinics use other techniques, and here are examples of the more common methods used by physicians at other clinics or circumcision providers in Canada and beyond. We mention just two of the more common alternate methods here and this is not intended to be an exhaustive list of circumcision types.
The Gomco Clamp – Not used at Gentle Procedures Ottawa
This is the most common technique used by general practice physicians who are not specialized in circumcision. It requires much longer to perform and involves more tissue handling. The technique involves compression of the foreskin for five minutes prior to incision.
The clamp is left in place long enough to allow clotting to occur, then the foreskin is removed using a scalpel. The clamp’s base and bell are then removed from the penis. The clamp itself must be rigorously sterilized prior to surgical use. Gentle Procedures Clinic does not use this method.
The Plastibell – Not used at Gentle Procedures Ottawa
With this technique, the baby must go home with a small plastic device tied on to his penis that allows the foreskin to desiccate over subsequent days. This is also a lengthier procedure to perform. Our opinion is that there is no need to introduce a surgical device that stays on the baby’s penis for up to a week.
The Plastibell Circumcision Device is a clear plastic ring with a deep groove. The Plastibell is placed onto the head of the penis during a 10-minute surgical procedure, and the device will fall off within a week. Gentle Procedures Clinic does not use this method.