• Toronto Safe Circumcision and Vasectomy Clinic!
    Safe Circumcision and Vasectomy Clinic!

 

Welcome to Toronto Safe Circumcision and Vasectomy Clinic!

At our clinic we provide fast and almost painless circumcision techniques. Circumcision is a surgical procedure by which the foreskin, the skin covering the head of the penis is removed. The procedure is often done as a religious tradition or for cultural reasons.

Though male circumcision could be done at any age, it is commonly done within the first two months of birth. It can also be a medical treatment for problems with the foreskin.

 

Toronto Circumcision Clinic

Toronto Circumcision Clinic

Circumcision is the surgical removal of the removal of the foreskin, the fold of skin that covers the head of the penis.

The benefits of male circumcision include a reduced risk of urinary tract infections in childhood, a reduced risk of ulcerative sexually transmitted diseases in adulthood, protection against penile cancer, a reduced risk of cervical cancer in female sex partners, and prevention of balanitis ( inflammation of the glands), posthitis (inflammation of the foreskin) and paraphimosis (inability to return the retracted foreskin to its original location).Call us today and schedule an appointment

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How circumcision is performed

How circumcision is performed

Normally, a local anesthetic is given by injection through the skin near the base of the penis. During a circumcision, the foreskin is removed from the head of the penis (glans). Even though the person having the procedure will be awake, there will be no pain while it is being done. After the procedure, some discomfort is expected when the local anesthetic wears off. There are pain-killers that relieve any pain or discomfort.
For newborn babies, circumcision is easier and faster that it is with adolescents and adults. The healing period is much shorter for newborns and infants.

Learn More How Circumcision is Performed

Adult Male Circumcision

Adult Men Adult circumcision is performed at Toronto Safe Circumcision
Under Dr.Bahrami

. Call for a Free Consultation Today!
(905) 475-2506

Benefits and Risks of Circumcision

Circumcision is a procedure that is surrounded by controversy. It is sometimes required for medical reasons, but many make the decision themselves or for theirs sons to be circumcised based on religion, culture, or the belief that it is more hygienic and likely to protect against various health problems. We are prepared to provide you with the information you need to make an informed decision on whether or not circumcision is the right choice for you or your son(s).

Benefits and Risks of Circumcision

Benefits of Circumcision

Circumcision may provide the following benefits;

 

. Make it easier to keep the penis clean
. Reduce the risk of urinary tract infections especially in childhood

prevents:
- Inflammation of the glans (balanitis) and the foreskin (posthitis)
- The potential for scar tissue on the foreskin, which may also lead to phimosis (inability to retract the foreskin)
- Paraphimosis (swelling of the retracted foreskin resulting in inability to return the foreskin to its normal position)
- Provide a reduced risk of HIV, penile cancer, cancer of the cervix in female sex partners and some sexually transmitted infections (STIs), especially ulcerative disease such as chancroid and syphilis

.

Learn More About Benefits of Circumcision
Benefits and Risks of Circumcision

Risks of Circumcision

There are risks associated with circumcision. However, they are rare when performed in a well-equipped clinic by a well-qualified doctor with specialized training and experience in circumcision. These risks include:

- Pain
- Bleeding
- Hematoma (formation of a clot under the skin)
- Infection at the site of circumcision
- Increased sensitivity of the glans penis for the first few months after procedure
- Irritation of the glands
- Meatitis ( inflammation of the opening of the urethra)
- Injury to the penis
- Adverse reaction to the anesthetic used during the circumcision

These complications are rare when circumcision is performed by well trained, adequately equipped, experienced health care personnel, and are easily and rapidly resolved

Learn More Risks of Circumcision

Information for parents:

The healing process usually takes about one week. The baby should be brought back to the clinic if any of the following occur in the child:

  • Distressed or pain
  • Fever
  • Failure to wake for feeding as he usually does
  • Feparation of the skin edges
  • Unusual swelling or bleeding
  • Difficulties with urination
  • If the parents have any concerns about healing process

Penile Frenulectomy

Frenulectomy, or Frenectomy, is quite a non-invasive, brief, outpatient procedure that takes only about 20 minutes, and is virtually pain free with local anesthetic. Essentially, it is the removal the tight or short bit of elastic skin called the frenulum, between the shaft of the penis

Vasectomy

Vasectomy is a surgical procedure for male sterilization or permanent contraception. During the procedure, the male vas deferens are cut and tied or sealed so as to prevent sperm from entering into the urethra and thereby prevent fertilization of a female through sexual intercourse

How Do You Prepare Your Baby?

Steps to prepare your baby for circumcision

Please feed you baby before arriving to our office.
Have your baby take Tempra or Tylenol one hour before arrival at the clinic:

Less than 3 months ½ cc (0.5 ml)
4-11 months 1 cc (1 ml)

Apply a small amount of EMLA cream (a topical anesthetic available over the counter) to your baby’s penis 1 hour prior to arrival at the clinic.

The primary purpose of this application is to reduce the pain the baby feels when we inject the Xylocaine. EMLA cream is optional.
Apply the cream around the base of the penis (the lower pelvic area above the penis shaft) follow our instructions, not the instructions that are written on the box.

Apply plastic dressing over the EMLA cream.
A pacifier may be helpful to comfort your baby.
Bring an extra diaper to go home.
Bring Polysporin Ointment, NOT CREAM, to the appointment.

 

What can you expect after the circumcision?

  • A Xylocaine injection is used for circumcision. When the freezing wears off, the child may experience pain or discomfort. These symptoms should disappear after about 24 hours when treated with Tylenol.
  • A dressing is applied, which is removed 24 hours after the procedure. Parents will be instructed on how to remove the dressing. If the dressing sticks to the skin, cut away the portion of the dressing that has come loose. Dampen the adhered portion, and gently remove it.
  • If this method is not successful, wait until the child takes bath in 4 days.

There will be swelling following circumcision, especially on the underside of the penis (the frenulum). This is normal. Swelling along the healing incision line will slowly subside over 6-8 weeks. The surface of the head of the penis is often a raw after the procedure resulting in the formation of a crust, which gradually comes off during the first two weeks leaving behind healthy skin.

Please understand that after circumcision, two different kinds of skin (penile shaft skin and prepucial mucousa) with different textures and appearances are brought together. Do not be concerned if the blending of these two types of skin is slow. It takes many months for them to blend together as the healing process to come to an end.

Babies may have pubic fat that can hide the penis. After circumcision, this pubic fat may prolapse over the penis, resulting in a hidden or trapped penis. If this happens, carefully retract the penile shaft skin to prevent the skin from covering the glands of the penis.

 

 What to do at home after circumcision?

 Give your baby 0.5 ml of Tempra or Tylenol every four hours if he seems uncomfortable.
Apply Polysporin ointment to the head and shaft of the penis with each diaper change after the dressing is removed. This will keep the area moist and prevent it from sticking to the diaper. It will also help to prevent infection.
Give baby daily sponge bath for 4 days following the procedure instead of bathing in a tub.
Avoid rubbing the area when washing.
Make sure that the diaper is snug to avoid rubbing the penis.
During the first 12 hours following circumcision, change the infant’s diaper every 2-3 hours, or check the diaper to ensure that there is no hemorrhage.

 

What are the complications of circumcision?

 Bleeding (hemorrhage)- a small to moderate amount of bleeding often follows circumcision, causing staining of the diaper. After removal of the bandage there is often a short period of bleeding which normally stops within 30 minutes. Although quite rare, if significant hemorrhaging occurs, the child should be taken to the emergency department, preferably Sick Kids Hospital. The diaper will contain a large amount of blood, and may include blood clots
Infection – Even though infection is rare following circumcision, inflammation and swelling are quite common. Regular use of oral antibiotics is not recommended. However, the ointment that is applied after circumcision contain a small amount of antibiotic. If significant redness, swelling, pain and tenderness are seen within 48 hours of circumcision, the baby should be examined. In the case of infection, treatment with antibiotics is required.

 

What follow up appointments are needed?

A routine follow-up visit is not necessary, but if any of the aforementioned problems arise, a follow-up visit should be arranged.

 

Normal Abnormal
Little blood on the underwear (first 24 hours) Fever
Small/ moderate swelling or redness lots of bleeding(dripping)
some fussiness extreme irritability
White blister on the head of the penis
Simply just leave them alone, do not pop the blisters,
If the blisters do pop just apply Polysporin on the blister
(blisters will go away in one or two days).
 

 

 

 

Risks of Circumcision

There are risks associated with circumcision. However, they are rare when performed in a well-equipped clinic by a well-qualified doctor with specialized training and experience in circumcision. These risks include:

- Pain
- Bleeding
- Hematoma (formation of a clot under the skin)
- Infection at the site of circumcision
- Increased sensitivity of the glans penis for the first few months after procedure
- Irritation of the glands
- Meatitis ( inflammation of the opening of the urethra)
- Injury to the penis
- Adverse reaction to the anesthetic used during the circumcision

These complications are rare when circumcision is performed by well trained, adequately equipped, experienced health care personnel, and are easily and rapidly resolved

 

 

Information for parents:

The healing process usually takes about one week. The baby should be brought back to the clinic if any of the following occur in the child:

  • Distressed or pain
  • Fever
  • Failure to wake for feeding as he usually does
  • Feparation of the skin edges
  • Unusual swelling or bleeding
  • Difficulties with urination
  • If the parents have any concerns about healing process

 

 

 

Benefits of Circumcision

Circumcision may provide the following benefits;

make it easier to keep the penis clean
reduce the risk of urinary tract infections especially in childhood
prevents:
inflammation of the glans (balanitis) and the foreskin (posthitis)
the potential for scar tissue on the foreskin, which may also lead to phimosis (inability to retract the foreskin)
paraphimosis (swelling of the retracted foreskin resulting in inability to return the foreskin to its normal position)
provide a reduced risk of HIV, penile cancer, cancer of the cervix in female sex partners and some sexually transmitted infections (STIs), especially ulcerative disease such as chancroid and syphilis

How circumcision is performed

Normally, a local anesthetic is given by injection through the skin near the base of the penis. During a circumcision, the foreskin is removed from the head of the penis (glans). Even though the person having the procedure will be awake, there will be no pain while it is being done. After the procedure, some discomfort is expected when the local anesthetic wears off. There are pain-killers that relieve any pain or discomfort.
For newborn babies, circumcision is easier and faster that it is with adolescents and adults. The healing period is much shorter for newborns and infants.

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