Welcome to the Gentle Procedures West GTA circumcision clinic. On this site, you will find information about circumcision for baby boys, and our Mississauga circumcision clinic offers procedures for infants and babies up to 12 months of age, as well as adult circumcision.
Our goal is to make it simple for you to get the info and services you may require.
Baby circumcision is commonly done relatively early in the life of your son. Procedures completed in the first three months are considered newborn circumcisions. If you have made the decision to have your son circumcised, it is recommended to proceed as soon as it is convenient for your family. Appointments are usually available within days.
You can contact Gentle Procedures Clinic to confirm our next available appointment in Mississauga or North York at 888-950-2472.
Appointments are usually available quickly (within a day of two). We work hard to deliver quality care in a timely fashion. Our experienced medical team will exceed your expectations for quality of circumcision care.
We focus on high-quality, safe, and reliable care to ensure that parents and their son have the best possible experience. Over 50,000 circumcisions have been performed using our technique over the last three decades.
For full detail on the Pollock Technique™ circumcision method that will be applied in your son’s circumcision please visit the Our Method page. For information on what to expect during and after a baby circumcision please see below.
Gentle Procedures West GTA was founded by Dr. Lindsay Teskey, who is known in Toronto as a leading pediatrician as well as for baby circumcision. Effective July 2017, Dr. Roland Sing continues the circumcision practice and Dr Teskey is no longer active in the practice.
Our medical team has been carefully trained by Pollock Technique™ originator, Dr. Neil Pollock, and we are proud to use the Pollock Technique™ in providing safe and simple access to infant circumcision in Toronto.
Our doctor and staff will support you after the circumcision surgery with a hotline for questions and detailed instructions on post-circumcision care for your baby son.
The focused practice of our clinic permits us to optimize the circumcision procedure as well as the overall experience.
Having served thousands of babies and families we have developed specialized systems and processes to offer these services better than any other institution. We will exceed your expectations for quality circumcision care.
The Best Care for Your Baby Boy
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 baby’s 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.
Circumcised Baby Follow Up
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 best time is between 7-28 days of age, although circumcisions on infants up to 6 months of age are performed at our clinic. Since newborn babies are less aware, recover faster, and the risk of complications is lower, families should try their best to have circumcision done as close to this time period as possible. However, it is common for a variety of reasons that circumcision will be done at a later time.
The Pollock circumcision method creator, Dr. Pollock, has published a study that shows our pain control process is highly effective. Many babies can sleep right through the entire under 60 second procedure. Most babies experience little or no pain at all.
It is not unusual for a baby to sleep 6-8 hours after the procedure and to miss a feeding. Some babies will be irritable for a number of minutes to hours afterwards. Behaviourally, most babies are back to themselves by the next day or two.
The gomco clamp is the most common technique used by other physicians. It requires much longer to perform and involves much more tissue handling than our methods.
The plastibell technique is also used by some doctors performing circumcisions in Mississauga. 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 by the physician.
No – doctors have different beliefs and practices regarding anesthetic use. We perform circumcisions using the Pollock technique, which is performed on thousands of patients every year. This method has been proven safe and effective on 50,000 patients over the last 25 years, and minimizes pain and discomfort with multiple combined anesthetic methods.
Our procedure takes only 30-60 seconds (10 times quicker than most hospital circumcisions). 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 extremely low complication rates and no hospital administration fees are charged.
Complications are rare. Occasionally, there can be bleeding from the circumcision many hours after the procedure. This is treated by putting some pressure with a 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 (5) 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.
We accept Cash, Debit, VISA, MasterCard and American Express.
A Toronto Baby Circumcision Clinic
When looking for the best facility for your son’s circumcision, please consider that the techniques for providing this surgery can vary from doctor to doctor. Our Pollock method has been refined and standardized over 50,000 procedures. Your boy will benefit from the highest standard for care and safety available in infant circumcision today.
Hospital Infant Circumcision Procedures
Ontario hospitals do not generally offer baby circumcision for newborns in a convenient and timely way. Some hospitals may have offered circumcisions for infants before mother and baby leave the maternity ward, but this is no longer the case in many hospitals in the greater Toronto area, and in Ontario in general.
Where to Get an Infant Circumcision
It is sometimes possible to get the operation in a hospital on an outpatient basis, but these institutions cannot offer the service level and experience of a specialized private clinic. Large institutions manage hundreds of different services and must prioritize urgent situations over hospital circumcisions for newborns.
Potential Benefits of Infant Circumcision
Canadian 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:
Improved genital hygiene
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.
Reduced risk of urinary tract and bladder infections
Because microorganisms can accumulate under and adhere to the foreskin, bacteria have a greater chance of migrating up the urethra causing urinary tract infections (UTIs) especially in infancy. Studies suggest an over 10-fold decrease in risk of urinary tract infection in circumcised infants. UTIs are a potentially painful and dangerous condition as it can result in kidney inflammation and scarring. Studies suggest that the protective effect of circumcision against UTIs when done as a newborn continues into adulthood.
Reduced risk of phimosis after circumcision
Phimosis is a condition where the foreskin becomes so tight that it cannot be pulled back fully, resulting in UTIs, local skin infection, pain when passing urine, retention of urine, kidney stones, and sexual dysfunction. Circumcision eliminates the risk of phimosis, which affects 1 in 10 older boys and men.
Reduced risk of penile cancer
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.
Reduced risk of prostate cancer
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.
Reduced risk of HIV/AIDS
Circumcision reduced the risk of getting HIV/AIDS by 3-fold during sex with an infected woman. This is because the HIV virus enters through the inner lining of the foreskin which is thin and vulnerable. Ulceration and tearing are also more common in uncircumcised men, adding to the risk of HIV entry.
Reduced cervical cancer in women
Circumcision reduced cervical cancer risk of a man’s female partner by 5.6 times as there is less risk of adherence and colonization of human papillomavirus.
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:
Bleeding after circumcision – In 1 in 500 circumcisions there may be some bleeding that is usually stopped with pressure or less commonly with stitches. If a bleeding disorder such as hemophilia is present, then our doctors will need advice from a pediatric hematologist prior to proceeding.
Infection – There is always a possibility that there could be a generalized infection requiring antibiotics after the surgery (1/4000).
Serious infections are rare (1/5000).
Concealed penis – When there is a good amount of fat around the penis (pubic fat), the penis may retract inward and increase the chances the penis gets partially buried and requiring medical intervention (1/800).
Meatal stenosis – This is a narrowing of the urethra that may occur after the procedure requiring medical intervention (1/1000).
Phimosis from circumcision – This is a narrowing of the shaft skin opening over the head of the penis requiring medical intervention (1/500)
Trauma resulting in permanent damage to the head of the penis (never in our practice)
Suboptimal cosmetic result (1/500)
More serious complications including death (never in our practice).