Circumcision in Sydney with the Pollock Technique™
Circumcision in Sydney with the Pollock Technique™Sydney Clinic2018-03-21T12:03:19-03:00
Dr. Neil Pollock
At Gentle Procedures Sydney circumcision clinic, we use the Pollock Technique™ for procedures for all ages of babies, boys, and adult men. The detail below focuses 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 Panadol, sugar solution (which has been shown to reduce pain perception), soothing music, topical freezing cream, padded baby holders, and a long acting local anesthetic.
Older boys and adult men also benefit from multiple local anesthetics to ensure a virtually painless procedure. For older children, nitrous oxide (laughing gas) will also be administered to reduce anxiety and discomfort.
NSW Adult Circumcision With Skin Glue Closure
For adults, the combination of our local anaesthetic, quick surgical technique, and use of skin glue, allows us to provide most comfortable adult circumcision procedure currently available in the world and has provided dramatically improved cosmetic outcomes without the typical multiple suture track marks.
Is Our Doctor’s Circumcision Method Like Plastibell?
The Pollock Technique™ can be used for babies, boys, and men of all ages, and consists of using a Mogen clamp under long-acting local anesthetic. 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.
Our circumcision doctor performs Pollock Technique™ circumcisions for infants, babies, boys, teens, and adult men. The Pollock Technique™ circumcision operation takes only one minute for newborns – and this is 10 times quicker than most hospital circumcisions. 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 the most effective method practiced in Australia today. Only local anesthetic is needed and recovery time is relatively fast. Our method is quicker than other procedures, and has proven safe over the past 25 years and 50,000 procedures. This is one of the reasons why so many Sydney doctors refer their patients to our circumcision clinic.
Gentle Procedures Sydney Infant 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 Sefton (Sydney) 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.
Baby Panadol Before You Come to the Sydney Clinic
Before you leave home, give your baby Panadol 0.5mls if he is over 4 weeks old. Do not use other medications such as Ibuprofen because these may affect bleeding time.
If you are uncertain of the proper dose, please wait for us to advise you at the clinic and give it there.
Please do not give any other medication besides Panadol (i.e., No Ibuprofen, Advil, Motrin, etc.) because it may increase bleeding time. The intent of administering the baby Panadol prior to surgery is to start minimizing your son’s discomfort right from the very beginning.
Anesthetic Cream to Numb the Skin
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.
Pain Blocking Injection – Local Anesthetic
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.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. Since the topical anesthetic has already numbed the skin, the injection is hardly felt. After 7-8 minutes, the penis is numbed, 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.
Five to eight 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 Sharier will be reachable 24 hours a day on his direct personal telephone line.
All clients are given our 24-hour contact information so they can reach the doctor directly should any concerns arise. We are parents too, so we can appreciate how vital it is to take all appropriate precautions.
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.
Our Circumcision Method and Pain Control Approach
The Pollock Technique™ used by Dr. Sharier 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 NSW 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 NSW 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 Sydney
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 Sydney
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.