Welcome to the Gentle Procedures Clinic. On this site you will find information about circumcision for baby boys. Our goal is to make it simple for you to get the info and services you may require.
Infant circumcision is commonly done relatively early in the life of your son. Procedures completed in the first four weeks are considered newborn circumcisions. We offer circumcision for infants, toddlers up to two and boys over nine. We also serve teens and men of any age who are seeking the procedure.
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.
The price for infant circumcision is $385 for infants up to 28 days. Pricing is higher for older babies and boys. You cancall us at 469-931-0684; we will provide pricing for a circumcision for an older child.
Circumcising Your Infant at Our Clinic in Dallas-Fort Worth
Gentle Procedures Dallas was founded by Dr. Tim McAuliff, MD. Dr. McAuliff is a board-certified physician in the Dallas-Fort Worth metroplex with an extensive medical background. He has performed more than 4,000 safe, successful outpatient and clinic procedures and has a broad spectrum of experience in patient care within the hospital, clinic, and emergency department settings.
Dr. McAuliff saw the need for a dedicated clinic for newborn circumcision and his research lead him to a safe and gentle method that is widely regarded all across North America. Infant circumcision is our specialty and no other clinic in the state has the same focused vocation in circumcising baby boys.
Our medical team has been trained by Dr. Pollock, one of the world’s leading circumcision practitioners and researchers. Dr. McAuliff created his practice to accomplish safe and gentle circumcision that minimizes patient discomfort and anxiety. Our doctor and nursing staff will support you after the circumcision surgery, providing detailed instructions on post-circumcision care for your baby son and answering your questions.
The focused practice of our clinics permits us to optimize the circumcision procedure as well as the overall experience.
Having served thousands of babies and families worldwide we have developed specialized systems and processes to offer these services better than any other institution. We are baby circumcision experts.
The Best Care for Your Baby Boy
You will receive detailed instructions 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 may take Tylenol before and after surgery. During the procedure they are given a sugary pacifier to distract and entertain them. 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 are done at Gentle Procedures Dallas at any age. 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.
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. Behaviorally, most babies are back to themselves by the next day or two.
The gomco clamp is the most common technique used by physicians. It requires much longer to perform and involves much more tissue handling than our methods.
The plastibell technique is also used by some physicians performing circumcisions in Dallas. 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.
Our procedure takes only a few minutes. We use extensive pain control methods, sugar solution (which has been shown to reduce pain perceptions), soothing music, topical numbing cream, custom baby holders, and local anesthetic injection.
We have extremely low complication rates and no hospital administration fees are charged. Our clinic is designed to meet the needs of families for infant circumcision. Because of our focus on this procedures we are able to organize our procedures and clinic operations optimally for baby circumcision. This makes us different from almost all other circumcision providers in Texas.
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 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.
No – doctors have different beliefs and practices regarding anesthetic use. The technique we use is fast and gentle, so local anesthesia is all that’s required. It has been proven safe and effective on tens of thousands of patients over the last 25 years, and minimizes pain and discomfort with multiple combined anesthetic methods.
A 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. The circumcision method Dr. McAuliff uses has been refined and standardized with the experience of over 50,000 procedures. Your boy will benefit from the highest standard for care and safety available in infant circumcision today.
Infant Circumcision Care After the Procedure
Our tested and reliable method for baby circumcision includes detailed instructions on how to take care of your son in the days immediately after his circumcision. Please visit the After Circumcision Care page for full detail.
Potential Benefits of Infant Circumcision
Texas 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 in 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 has 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 procedure performed at our Dallas 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)
Suboptimal cosmetic result (1/500)
Trauma resulting in permanent damage to the head of the penis or more serious complications including death (extremely rare).