Vancouver Sun

New circumcisi­on technique saves time, resources

Vancouver doctor uses glue instead of sutures

- MIKE HAGER mhager@postmedia.comTwitter.com/MikePHager

A Vancouver doctor is heralding a new circumcisi­on technique for patients over one year old that uses a glue instead of sutures and enables him to perform the procedure on patients under local anesthetic.

When Flynn and Flora Yu’s 14- monthold son Clark had his third urinary tract infection in nine months, his parents decided to allow Dr. Neil Pollock to try the circumcisi­on technique for the first time on a child older than one year.

“For us, it was a medical issue so we didn’t really have much choice,” Flynn Yu said of their decision.

Pollock said with the patient under a local anesthetic, the procedure uses glue to quickly close the wound, without the sutures that would take longer and need to be applied under general anesthesia in a hospital operating room. Boys younger than a year often don’t need stitches or glue as their skin heals naturally with a pressure bandage, he said.

American studies have found circumcisi­on can help cut the risk of urinary tract infections for infants.

“I can do the whole surgery and enclosure almost faster than they can roll them in and out of the operating room,” Pollock said. “The benefit to the system is we can off- load all these kids.”

Opponents of circumcisi­on argue children do not have the ability to consent to the procedure and that it reduces sexual satisfacti­on later in life. Since medical experts in Canada haven’t ruled in its favour, British Columbia’s Ministry of Health only pays for circumcisi­ons when they are deemed medically necessary.

During the 2011- 12 fiscal year, 1,153 British Columbians had medically necessary circumcisi­ons, costing the province $ 174,670, ministry spokeswoma­n Cindy MacDougall told The Sun in August. The year before that, 1,387 circumcisi­ons were covered by the provincial government.

The cost for these circumcisi­ons averages out to less than $ 150 for each surgery. For parents who elect to circumcise their infant son, it can cost more than double that. Pollock charges $ 445 for babies two months and younger. He said he needs to figure out how to finance more medically necessary cases referred to him by pediatrici­ans because the Medical Services Plan has an existing surgical fee code for the traditiona­l hospital circumcisi­on but not for his procedure.

 ?? STEVE BOSCH/ PNG ?? Dr. Neil Pollock, left, chats with the Yu family — dad Flynn, mom Flora and baby Clark — about a new method of circumcisi­on in his examinatio­n room.
STEVE BOSCH/ PNG Dr. Neil Pollock, left, chats with the Yu family — dad Flynn, mom Flora and baby Clark — about a new method of circumcisi­on in his examinatio­n room.

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