Reddoch Clinics is Eastern Ontario’s dedicated provider of infant and baby circumcisions.
Our specialized circumcision clinics are organized around the needs of baby boys and their families in order to provide the optimal infant circumcision experience. Our experienced medical team will exceed your expectations for quality of care.
Baby circumcision is commonly done relatively early in the life of your son. Procedures completed in the first weeks are considered newborn circumcisions. We recommend scheduling infant circumcision as soon as possible, ideally within the first two months of your babies life. Reddoch Clinics performs circumcision for infants and babies up to two months of age only.
We also offer circumcision for babies from Gatineau, and elsewhere in the province of Quebec. Circumcision is not covered by RAMQ so Quebec clients can benefit from Reddoch Clinics expertise with circumcision for babies.
If you have taken the decision to have your son circumcised it is recommended to schedule the procedure as soon as possible in his young and new life.
Before Circumcision – Preparing Your Baby
It is best to have finished feeding your son just before bringing him into the office, so that your baby will not be overly hungry while you are waiting in the office. If your baby is hungry when you arrive, you can feed him at any time during your visit.
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 Cornwall 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. First, give your son Tempra or Tylenol drops (also called acetaminophen) just before you leave home or, if you are traveling a long distance, after you arrive at the clinic. 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 medication besides Tylenol or Tempra (i.e., No Ibuprofen, Advil, Motrin, etc.) because it may increase bleeding time.
Then, in our office, he will have topical anesthetic applied to his penis. This is an anesthetic cream that numbs the skin. This stays on for 20-30 minutes.
Next, he is given an injection called a dorsal penile ring block into the tissues alongside the penis. Since the topical anesthetic has already numbed the skin, the injection is hardly felt. After 7-8 minutes, the penis is “frozen”, and the circumcision can be done.
During the injections and the circumcision, your son will receive a sugar pacifier to suck on, which reduces his pain perception.
Although the circumcision takes only 30-60 seconds, we require you to be in our office for approximately one hour and fifteen minutes in total so that we can carefully review with you all post procedure care and answer any of your questions.
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. This inflammation will subside within a week or two. In the first two days, there may be an off-white or yellowish, patchy appearance 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 looks green and yellow. This is NOT pus. It is healing tissue. It can look this color for up to two weeks after the circumcision.
You will also notice that the glans appears red and glossy sometimes purple. 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.
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. 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. These are normal changes.
After a few days to week, some parents notice swelling of the mucosal tissue behind or under the head of the penis and believe it looks “like a blister”. This type of swelling is normal. It is not a blister, and it will gradually subside.
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 any way about the appearance of your son’s penis, please consult with Dr. Reddoch immediately.
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. Repeat if necessary. Call Dr. Reddoch directly at (613) 362-2837 if bleeding persists despite pressure.
The best time is between 5-12 days of age, although circumcisions are done at the Reddoch Clinics for infant up to pre-pubescent boys – generally up to age 11 or 12. 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.
Complications are rare. Occasionally, there can be bleeding from the circumcision many hours after the procedure. This is treated by putting some pressure with gauze on the penis for 5-10 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 times a day on the penis which usually resolves any infection within one or two days.
Dr. Pollock has published a study that shows his pain control process is highly effective. Many babies can sleep right through the entire 30-60 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.