Appointment Information

Forms to complete

• In your appointment text message, there are 2 forms that you are required to be complete (Health Check form & Online Photo Request form).

• These must be completed.

Aftercare Number

• In order to recieve essential advice before & after you appointment via whatsapp.  You MUST SAVE THE AFTERCARE NUMBER in your phone (0770 7357 794) or click on the link below and save the number.

• https://wa.me/message/GOBUXGEEBUAXP1
•  It is essential this is done!

Day 1 (before the procedure)

• Avoid feeding your child 30 mins before his appointment.

Day 1 (before the procedure)

• Payment is by cash only.  Payment by card is not available.

Day 1 (before the procedure)

• Both parents have to attend.
• If mum is unable to attend, please inform the booking team.

• Bring a spare nappy.
  • His feed (after his circumcision, if needed).
  • No extra clothing is needed.

Day 1 (before the procedure)

• Have some paracetamol (Calpol- Infant) ready at home (only to give, if needed).
• Even if your child is under 2 months old.
• Do not use any numbing cream! 
• Very important to read the section on pain relief!  It contains more information.

Arrival

• We estimate your total stay in the clinic will be less than 90 minutes.

• This includes the process for consent, procedure & post-op review.

Consenting

• On your arrival, you will be provided with a consent form to complete and an aftercare leaflet to read.

• Our staff will go through the consent form and answer any questions you may have.

Consenting

• During the consent process, we will weigh your child.

• If your child is under 2 months old.  You will need to know his weigh, so you may know how much paracetamol (calpol to give, if needed).

Consenting

• Before the procedure, you will meet our staff performing the procedure and can answer any questions you may have.

• In some cases, after examining your child the operator may decide that he is unable to perform the procedure.  We will explain to you the reasons why.

Complications

• Most complications are readily treatable and cause no long-term effects.

• The rate of procedure-related complications from circumcision in the neonate is approximately 2 to 6 per 1,000.

• The most common complication of male circumcision is bleeding.

Complications

• Bleeding: 1 out of 1,206 circumcision (0.08%)

• Infection: 1 out of 1,615 circumcision (0.06%)

• Urinary tract infection: 1 out of 5,007 circumcision (0.02%)

• Blood transfusion: 1 out of 33,385 circumcision (0.003%)

   

Procedure

• We expect the procedure to take about 5 - 15 minutes.

• Ring method (Plastic ring) method will be used for the circumcision.

Procedure

• Parents are not allowed to stay in the operating room during the procedure. This is the standard practice for the majority of hospitals and clinics, even for more minor procedures. This is for a variety of reasons.

Vaseline

• Do not use vaseline.
• You do not need to buy Vaseline.
• Vaseline will not be needed.

• Vaseline does not make the ring come off any faster.
• If you are using creams or ointments given by your GP.  You can continue using them.

Price

• Under 6 months: £150

• 6 months - < 9months: £180

• 9 months - < 2 years: £250

• 2 years - < 3yrs: £350

• 3 years - 4 years: Call 01274 484222 

Procedure

• After the procedure, a private room will be provided for your family to be with your child.

• You can feed your child as normal now.

Procedure

• About 20 minutes later, our staff will review the circumcision and then you may go home.

• You can use your car seat as normal.

Day 1 (day of procedure)

• Do not give your child a bath today.

• Do not soak the ring in the water today.

• Hold your child as normal.

Day 1 (day of procedure)

• You can use your child's car seat as normal.

• 2 hours after the procedure, give 1 dose of paracetamol.

• See pain relief section for more details. 

Cleaning

• If your child has a big poo and it goes onto the circumcision.  Use some wet cotton wool and give it a gentle clean. You might not be able to fully remove all the poo, that is ok. This will get cleaned on day 2 and onwards.

• When cleaning the rest of the body, you can use wipes as normal.

Daily text messages

• Every morning (for 14 days), a message will be sent with circumcision advice.

• These messages will be referring to online photo examples.

• It is highly recommended to view these photos is before your appointment (see your appointment text for the link).

• If you do not receive the daily message by 11 am (this is very rare), reply back with a message and we will resolve this matter the same day.

Nappy changing

• Change your nappy as normal.

• Continue using the same size nappy as normal.

• Leaving the nappy off or on for longer will not affect the circumcision.

• If your child is above 6 months old, while the ring is still attached, we recommend wearing 2 nappies all the time (to reduce your child trying to touch the ring).

Vaseline

• Do not use vaseline
• Do not use vaseline
• Do not use vaseline
• Vaseline does not make the ring come off quicker.
• If you are using creams or ointments given by your GP, you can continue using them.

Day 2 (day after the circumcision)

• In the morning:

  Do not give your child a bath.

  Do not soak the ring in water today.

Day 2 (day after the circumcision)

• In the evening:

  Soak the ring in plain luke warm water for 10 minutes.

  Do not add anything to the water, no salt, bubble bath, dettol etc..

  Instead of soaking the ring, you can give your child a bath instead.

Day 3 till day 14

• Soak the ring in the water EVERY morning & evening.

• When the ring falls off, you can stop soaking the ring in the water.

Bath (day 3 till day 14)

• Instead of soaking the ring in the water.  You can give your child a bath instead.

• There are no restrictions on how to bathe your child.  Bath your child how you would normally bathe him.  You can give a bath any day now of your choice.

• You can use shampoo, bubble bath and body wash as normal when bathing.

Contact

• If you have any questions or concern, please contact us

• Booking enquiries: 01274 484222

• Circumcision advise only call:  0770 7357 794

• Can send text & photos via whats app, but do not call via Whatsapp

Pain relief

• In the clinic, we will weigh your child and provide you with an aftercare leaflet.  The leaflet will show how much paracetamol you can give to your child.  Please make a note of how much you can give.

• If your child is under 2 months old, you can still give paracetamol.

• When the clinic finish is closed, we can not access his notes to provide you with his weight.  So please make a note of his weight in the clinic.

Pain relief (if your child is under 2 months old)

• If your child is under 2 months old, do not buy paracetamol from the pharmacy or pharmicst, they will give not give it to you.

• Go to any other place, e.g. Petrol station/Tesco/Asda and get it straight off the shelf.  
• Calpol and paracetamol are the same.
• You can buy 'Calpol Infant', '2 Months plus', '3 months plus'.

Example of Calpol to buy

Pain relief

• Paracetamol for babies from birth to adults is calculated using their weight.

• We use recommend scales, which area more accurate scales than typical home scales, base on this we can calculate the correct dose for your child.
• Do not use any numbing (anaesthetic) cream! 

Pain relief

• 2 hours after the procedure, give your child 1 dose of paracetamol.

• After the 1st dose of paracetamol, most children will not require further pain relief.

• After 6 hours from the last dose of paracetamol, you may give further paracetamol as instructed on the aftercare leaflet (provided in the clinic).

Pain relief

• While the ring is attached and your child is in discomfort, you can give paracetaol again at any day.

• You can repeat another dose of paracetamol, if it was more than 6 hours ago from the last dose.

• When the ring falls off.  Stop giving paracetamol.

Bradford Location

• 72 Oak Lane, Bradford, BD9 4QX.  Booking inquiries: 01274 484222

 Manchester Location

•  We are base in Cheetham Hill Primary Care Centre

• 244 Cheetham Hill Road, Manchester.

• M8 8AU (if using Sat Nav)

Manchester location

Manchester:Cheetham Hill Road

Manchester Car Park

There are 2 locations to park your car.

 Location 1

When you arrive outside the surgery to park, press the button.  If there is no answer, repeat pressing the buzzer after 30sec.  (Do not call the booking number to open the gate.  The booking team have no control in opening the car park gate).

Location 2

You can park in Machester - The Forte.  This is about 10 sec drive from the surgery on the main road.

Manchester: Car Park ( 1 of 2 )

On arrival, press the button of the gate.  If informed not space for parking, please goto 2nd location for parking.

Postcode: M8 8AU

Manchester Car Park ( 2 of 2 )  Manchester - The Forte

You can park at the 'The Forte'.  It is only 10 sec drive from the surgery.

Which circumcison method do we used for circumcison?

• We used the Palstibell method for circumcison.

• This consist of a plastic ring that is placed under the foreskin.

• It is fastened with a string.  The excess foreskin in removed.

• Over time the ring with fall off, leaving he head of the penis exposed.

• The plastibell is known for being relatively simple and quick compared to other circumcison technques.