Baby & Newborn Circumcision

Baby & Newborn Circumcision2020-05-29T07:23:00-07:00


Circumcision baby vancouverBaby circumcision is commonly done relatively early in life. Procedures completed in the first four months are considered newborn circumcisions. If you have made the decision to have your son circumcised, it is recommended to book the procedure as soon as it is convenient for your family.

Appointments are usually available within days. Please review the “Getting Started” section to ensure you are fully informed about the procedure prior to booking.

In this section you will find information about circumcision for newborns. We focus on high-quality, safe, and reliable care to ensure that parents and their son have a safe and positive experience.

Over 40,000 circumcisions have been performed at our clinics over the last two decades. Our goal is to make it simple for you to get the information and services you require. Our doctors and nurses will support you after the circumcision surgery with a hotline for questions and detailed instructions on post-circumcision care for your baby son.

Pollock Clinics Infant Circumcision Procedure

bc Circumcision clinic for babiesWe 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. You can also review our Circumcision Counselling Video for detail on how to prepare for the procedure as well as aftercare instructions.

You will be at our Vancouver or New Westminster circumcision clinic for just over an hour in total, 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.


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Infant Tylenol Before You Come to the Clinic

Before you leave home, give your son 1 mL of Tempra or Tylenol – about an hour before your appointment time.

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.

bregman circumcision dr

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. Our doctor 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 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, your doctor 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.

The Penis Before & After Baby Circumcision

The three images below show the change in your baby boy’s penis brought about by circumcision.

Vancouver circumcision hospital

1. A profile of the uncircumcised penis with the foreskin covering the glans (head of the penis).

Getting circumcised at any age

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.

Skin glue circumcision Pollock method

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 Baby Circumcision page for full detail on the healing process and frequently asked questions.

Our Circumcision Method and Pain Control Approach

The Pollock Technique™ used by Pollock Clinics is based on the Mogen technique. This technique is known for its quickness and safety. In conjunction with this method, our circumcision doctor uses extensive pain control methods. 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.

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Patient Instructions (Available to downoad in simplified Chinese)

 Before Circumcision

  1. 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.
  2. You should give your son 1 mL of Tempra or Tylenol an hour before his appointment. Do not give Motrin, Aleve, Advil, Ibuprofen etc.
  3. If your baby is hungry when you arrive, you can feed him for 15 minutes as soon as you arrive.
  4. Please also remember to bring 2 receiving blankets.
  5. If one partner is not coming, a written note from him/her will be required consenting to have circumcision performed by Dr. Chang or Dr. Pollock. ***Click here to print a consent or you can copy this on a hand written note***.
  6. 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.

After Circumcision

Baby boy circumcision

Here you see the square white gauze with Vaseline that you will replace for the first 24 hours if it falls off. You also see long white gauze and bandage around it that will be removed in 24 hours or if it falls off earlier you may leave it off.

How to care for your baby in the first 24 hours following the circumcision:

  1. Keep your son snugly swaddled (especially his legs). The more he kicks his legs, the less comfortable he may be. After 24 hours, you no longer need to swaddle him unless he finds comfort in doing so.
  2. There will be a square white gauze with Vaseline placed over the head of your son’s penis. Leave the gauze in place and remove it after 24 hours. If it has fallen off, not to worry- just replace it with a fresh 3×3 gauze with some Vaseline on it and put it over the penis then close the diaper.
  3. Please check your son’s diaper every hour for the next 24 hours to look for any abnormal bleeding.
  4. If the white gauze is soiled with urine or stool don’t worry just leave it alone. You may rinse his bum with warm water or use wipes on the bum, just not the penis.
  5. There will also be a long white gauze wrapped around your son’s penis. Leave this gauze in place for 24 hours as well. If it falls off earlier, don’t worry just leave it off. If it is dry or stuck when you are trying to remove it after 24 hours, you may need to pull slightly harder and expect that there may be a little bleeding when you do this. This is normal and you may need to apply some direct pressure on the head of the penis as we taught you in the clinic. You may use some warm water to wet the dressing to help remove it. If there is some bleeding, maintain firm pressure for 3-5 minutes.
  6. No gauze bandages are required after the first 24 hours, just ointment.
  7. It is normal for your son to be a little irritable or very sleepy for the first 24 hours following the circumcision.

General care following the circumcision:

Where to get baby boy circumcision

Here you see a part of the mucosa attaching to the head of the penis. This is an example of “bridging” that requires a simple adjustment by our doctors.

For the following weeks after circumcision, put a generous amount of Vaseline on your finger and rub it over the incision site placing a thick layer of ointment over the entire head of the penis.

It is important to push the skin down off the head of the penis if it has moved up a little to ensure it heals properly just behind the back rim of the head. Do not do any pushing on the skin for the first two days because it will be swollen from the surgery. It is important to avoid “skin bridging” which results from the shaft skin or mucosa attaching to the head of the penis. If you are unsure of the appearance of your son’s penis, bring him to see one of our doctors, and they will adjust the skin for you if required.

Most babies like to nurse in a quiet environment following the circumcision. A baby who cries for more than a few minutes is usually suffering from air swallowed during the circumcision and needs to be burped.

Healing is promoted by keeping the area clean and dry but do not bathe your son until our doctors say it is okay to do so (generally after 3-4 days). In the meantime, warm water and a wash cloth are preferred for cleaning the area around the penis. Wiping his groin area and under the scrotum with warm water and cloth every day is good enough. Avoid moistened towelettes, alcohol, powders, and lotion since these may cause irritation.

Disposable diapers are strongly recommended for the first week since they tend to be less irritating, and they help keep the area dryer and cleaner. It is better both before and for about three days following the circumcision to restrict the handling of your baby to just a few people. Also, avoid unnecessary travel as car seats can be irritating after circumcision.

The healing process after circumcision:

Healing is usually rapid and occurs in several stages. Remember that a circumcision is like any other cut. There are many factors that influence healing; but most importantly, every child heals differently.

First, the cut edge seals and bleeding ceases within minutes, hours, or even over the course of an entire day. The area just behind the glans (especially the underside) will become swollen. Sometimes parents mistake this for a blister. In fact, this is NORMAL and will subside within a week or two.

In the first two days, there may be an off-white or yellowish, patchy appearance or discoloration of the glans. These patches are a type of scab and are associated with normal healing. After a few days the area where the skin was cut may look green and yellow. This is NOT pus or infection. It is part of the normal healing process and it can took this color for up to two weeks after the circumcision. Some physicians are not familiar with this healing process and may mistake this for infection. Please follow up with our doctors if you are concerned.

You will also notice that the glans appears red and glossy sometimes purple or blue. This is because the skin covering the glans of an uncircumcised penis is mucous membrane (like the skin inside your cheek). Once exposed, the mucous membrane will toughen (or keratinize), and, in time, take on a normal appearance. It takes about a month for the penis to take on a normal, healed appearance.

circumcision doctor for newborn in BC

You will notice yellow patches on the head of the penis as it heals. This is not infection and is in fact a normal part of healing.

Pollock circumcision

You will notice the head of the penis can often be purple, blue or red. This is all normal.

The appearance of the penis during healing:

A common concern for parents is aesthetics. Remember that penises come in all shapes and sizes. While most penises “look normal” within days of the circumcision, some do not take on a “completely normal appearance” until after the penis starts to grow.

For example, there may be more mucosal tissue on one side compared to the other; this is a normal anatomical variation after circumcision that will resolve with time after your son grows older.

Furthermore, although the penis may appear smaller after circumcision, it is not!

This appearance is mostly due to the relaxation of skin surrounding the penis, which prior to circumcision holds the penis more erect.

On occasion, a poor aesthetic result occurs when too little or too much skin is removed, or more likely when the cut edge of the skin attaches too high or too low along the length of the penis. The latter is sometimes caused by the presence of a hydrocele or penile erections.

In nearly all these cases, the penis will heal properly, and, in time, take on a normal appearance.

If you are concerned in anyway about the appearance of your son’s penis, please call to consult us immediately.

Sometimes parents come to us worried about a band on the bottom of the penis fearing that it needs to be cut. This band is called the frenulum which carries the frenular artery and is normal.

It is similar to the band under the tongue (the part that is cut in some babies with tongue-tie). It is rare that an infant frenulum would present any issues requiring our intervention.

As always, please ask us your questions, but do not be unduly concerned. If in doubt, have us check your son’s penis to ensure proper healing, and it will almost certainly be fine.

Dr pollack clincs

You will notice a mucosal ring at the base of the penis head. Sometimes it is more prominent on one side than the other. This is normal and no cause for concern.

After circumcision care

You may notice a band on the bottom of the penis after circumcision. This is normal and no reason for concern.

Common Concerns From Parents After Circumcision

It is not unusual for your son to sleep 6-8 hours after the procedure and to miss a feeding or meal. Some patients will be irritable for a number of minutes to hours afterwards. Behaviorally, most babies and children are back to themselves by the next day or two.
In general, complete healing occurs in about four weeks but most newborns or children show signs of healing by 1 week.
It may sting a little on the first day, but after a day it should not be painful.
It is normal to use some force to pull off the gauze bandage. To make this easier, you can soak the gauze with warm water and Vaseline before pulling it off. In the end, you just may have to pull a little more firmly to get it off. Remember the direct pressure technique if you notice any bleeding.
A small amount of bleeding is normal. Take some gauze with Vaseline on it and squeeze the bleeding area of the penis with your fingers for 3-5 minutes.
This is not important. You may leave it off. Reapply a white gauze pad with Vaseline and place it over the penis until the 24 hours is up. Then, just use Vaseline as instructed at the incision site on every diaper change.
Not to worry just try to clean the area as best you can using warm water and a cloth. Then place the white gauze with Vaseline on until the 24 hour mark is achieved.
If you are concerned about skin bridging, come back to have the baby examined. Usually it is very easy for us to make an adjustment.
For newborns, our physicians will let you know when at your follow up when you can start immersing your son in water.

Apply a generous amount of Vaseline over the incision and the entire penis head with each diaper change. This is done for 2 weeks.

When there is a good amount of pubic fat or when the penile shaft is no greater than its diameter, the penis may tend to retract inward. This is normal. If your son fits this profile you can reduce the chance of a concealed penis by applying Vaseline to the entire glans once a day until the glans takes on a healed appearance (up to 6 months). To expose the glans that has retracted inwards, place gentle downward pressure on either side of the penis and consult one of our doctors if the head
cannot be fully exposed. This may take months up to a few years before the penis stays persistently outward.

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We are following strict protocols to ensure staff and patient safety.  Please read our COVID-19 information page for details.

We also continue to offer telehealth appointments for the following:

  • Complimentary initial visits for erectile dysfunction, peyronie's disease and penile enlargement.
  • Sex Therapy

Please contact us at 604.717.6200 or to book. We are open 7 am - 5 pm Monday to Friday

Take care and stay safe!