Docteur Jean-Philippe Bercier BSc, MD, CCFP
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Introduction
La préparation
L’intervention
La guérison
4 – Guérison
Une gaze enduite de vaseline sera placée sur le gland du pénis de votre fils. Laissez-la en place durant 24 heures et retirez-la lors du premier bain. Si la gaze se défait, ne vous inquiétez pas, remplacez-la simplement par une nouvelle gaze enduite de vaseline que vous placerez sur le pénis avant de refermer la couche.
Vous pouvez donner d’autres doses de Tempra/Tylenol/acétaminophène à votre enfant toutes les 4 heures, au besoin, s’il semble toujours ressentir un inconfort lié à la circoncision.
Ne vous en faites pas si la gaze blanche est tachée d’urine, laissez-la telle quelle. Si elle est tachée d’excréments, retirez-la, rincez les fesses de votre bébé avec de l’eau tiède et remettez une gaze enduite de vaseline. Utilisez des couches jetables durant la première semaine, car elles sont habituellement moins irritantes et aident à garder la zone plus sèche et propre. Lors de chaque changement de couche, il est normal de voir le pénis décoloré et la gaze ou la couche légèrement tachée de sang. Dans le cadre du processus normal de guérison, vous verrez une membrane jaune autour du pénis.
Directives à suivre après la circoncision
- Examinez la couche de votre fils chaque heure pour le reste de la journée afin de déceler toute nouvelle trace de sang. Des quantités minimes de sang sont normales, mais un saignement actif ne l’est pas. Bien que cela arrive rarement, les raisons les plus courantes du saignement actif une fois à la maison sont des nettoyages trop brusques, une application insuffisante de vaseline, ou l’application d’une pression trop grande à la base du pénis pour la rétraction. En cas de saignement actif, tenez le pénis couvert d’une gaze humide et tiède entre votre pouce et deux doigts et maintenez une pression ferme pendant de 3 à 5 minutes. Répétez la pression au besoin. Si vous êtes inquiet, contactez-nous.
- Vous pouvez donner un bain à l’éponge 24 heures après la circoncision. Vous pouvez utiliser de l’eau tiède pour mouiller le bandage afin qu’il soit plus facile à enlever. En cas de saignement, maintenez une pression ferme durant 3 à 5 minutes. Nettoyez doucement la zone autour du pénis à l’aide d’une lingette tiède. N’utilisez pas d’alcool, de poudres ou de lotions puisqu’ils pourraient causer une irritation. Continuez de donner des bains à l’éponge seulement pendant les 5 jours suivants.
- Après 24 heures et le premier bain, il n’est plus nécessaire d’appliquer un bandage. Cependant, continuez d’appliquer une quantité généreuse de vaseline lors de chaque changement de couche. Mettez une quantité généreuse de vaseline sur votre doigt et appliquez-la sur le site de l’incision en mettant une couche épaisse de gelée sur l’ensemble du gland et dans la couche afin d’éviter que le prépuce exposé n’adhère à la couche ou que des adhérences se forment avec le gland. Répétez cette étape pendant deux semaines.
- Comme nous l’avons mentionné plus haut, au cours des premiers jours, le gland pourrait présenter une décoloration blanchâtre ou jaunâtre et avoir une apparence inégale. Tout cela est normal. Il ne s’agit pas de pus ni d’infection et cette couleur peut être présente jusqu’à deux semaines après la circoncision. Les infections surviennent rarement, mais sont possibles. Les signes courants d’infection sont les sécrétions purulentes (pus), les mauvaises odeurs, une inflammation importante ou la fièvre. Si votre fils présente l’un de ces signes, s’il n’a pas uriné depuis plus de 12 heures ou si vous avez des doutes quant à l’apparence de son pénis, contactez-nous.
- Si la peau s’est déplacée légèrement vers le bout du gland, appliquez une légère pression sur les CÔTÉS du pénis pour vous assurer qu’il guérisse adéquatement sans adhérences. Ne poussez pas sur la peau là où le prépuce a été enlevé durant les 24 premières heures, car elle sera enflée en raison de l’intervention.
- Vous remarquerez un anneau plus spongieux à la base du gland, ceci est la muqueuse. Il est parfois plus visible d’un côté que de l’autre. C’est normal et il ne faut pas s’en préoccuper.
- La zone autour du gland va enfler, particulièrement le dessous. C’est normal et cette enflure va disparaître en une semaine ou deux.
- Vous remarquerez peut-être une bande au bas du gland après la circoncision. Cette bande est appelée le frein, c’est normal et il n’y a pas de quoi s’inquiéter.
- L’esthétisme est une préoccupation courante des parents. Comme toutes les autres parties du corps, le pénis peut avoir toutes sortes de formes. Bien que la plupart des pénis retrouvent une allure normale quelques jours après la circoncision, certains ne reprennent un aspect complètement normal que lorsque le pénis commence à grandir.
- Si vous avez des doutes quant à l’apparence du pénis de votre fils, contactez-nous et nous fixerons un rendez-vous pour ajuster la peau au besoin.
LISEZ LES COMMENTAIRES
Great experience, on time, ready, clear and the receptionist was outstanding. The "blue balls" upon exit was a great touch to add an element of fun to the experience. Highly recommend Dr. Bercier and team!
I would highly recommend Dr Bercier. They are very well organized there and I was in and out in 15 to 20 mins.
Great service, quick turnaround and excellent communication. I recommend this clinic to everyone I know. Truly a cut above the rest!
Fast, efficient, business friendly, professional, and painless. Great work. Just follow their instructions regarding before and after procedure and all will be fine. That's how I see it.
I was very hesitant to book and honestly a little frightened. Upon showing up it was very thorough , very fast and felt absolutely nothing . Leave your pride at the door , and get it on the way out . I had over thought the process , and it was really done before I knew it .I did feel the after care amount of 170$ was quite steep as I feel most of which should be covered under ohip , 50$ for the glue he used? , 12$ for 2 condoms ? Was made mandatory to pay before but on the after care sheet was stated as an option .all in all , I am happy it’s done . And anyone looking to book , know it was a real easy , painless procedure .
My appointment was at 10:20, I got there a 10 and at 10:22 I was in my car riding back home. Professional, quick and effective procedure. Did not feel a thing while the doc was performing the vasectomy. 100% recommend this place.
Create , incredible... Make easy service ! The Doctor was relax and very professional! The attitude and the overall atmosphere was very noice and casual
This clinic is great. They've really perfected the craft. In and out, takes longer to sign in than it does to get the procedure done. Procedure was painless. And I left with no risidual pain either. A big thank you to Dr. Bercier and his team.Note - As part of your mental prep for this procedure, make sure you know what music you want to have playing while it happens. Or else you may end up hearing The Dixie Chicks when you really don't want to hear them.
The best!!!! If I could do the operation again, I would do it again without hesitation! Dr Bercier is the doctor of the situation, my Doctor, our Doctor quite simply! In addition, its painless technique is positioned from afar, in the allegorical floats, in front of the parade, whatever. 🙌🙌🙌🙌Dr Bercier, THANK YOU
My vasectomy with Dr. Dumais went very well. I was worried, but she told me to settle down and not to worry. Well, without other options, I settle into my greatest vulnerability. No discomfort or pain felt. According to some reviews, the post-op kit contains unnecessary items. This is not the case. I try to add a photo of the work, but it doesn’t work :/ Thank you Dre Dumais
Vasovasostomy by Dr. Bercier. Efficient, professional and dedicated. Strongly recommended!
The staff and Dr Bercier have created a very calm experience. In and on within 15 mins and the actual procedure was seriously 2 mins. Best in the biz!
Amazing. In and out in 20 minutes. Healing is going very well. Hardly feel a thing. In all honesty it's pretty nice to get a few days just to relax. Keep it up!
Had my vasectomy performed by Dr Dumais, who has taken over for Dr Weiss who has since retired. She was absolutely excellent. Great bedside manner, clear explanations of what was happening and any potential discomfort that might be felt during each step. Entire procedure from freezing to finish took under 10 minutes.Before beginning Dr Bercier confirmed my age (31), that I had no children, and that I was 100% certain I never wanted to have any (and that my partner felt the same way). She reiterated that while surgical reversal is sometimes possible, the procedure should be considered permanent.Nurses/office staff were friendly and efficient. Got up from the table a bit too quick and ended up sitting down in the chair and fainting. They were right on top of things and immediately went into their usual routine for when those things happen. We had a little chuckle about it, and at no point did it feel weird or judgemental which I very much appreciated.A couple of other notes based on some things mentioned in a few other reviews here:- Total out of pocket fees are $170, consisting of a $20 deposit and $150 on the day of the procedure. Those costs are detailed in the attached photo of the “Pre and Post Vasectomy Kit”. As detailed on the page patients can choose to pay only for the specific items/services they want, and they also give you a week post-procedure to request a refund and pay only for the needed items. This information is not provided anywhere before going in, so most will just pay the $170 and be done with it. While some of these costs are certainly quite highly inflated, they do help make up for the fairly minimal compensation the clinic receives from OHIP for each procedure.- Website is a bit of a mess, although most of the important bits are easy to find (and all the most important info is attached to the emails you’ll get). Specifically one thing they have changed is that you do *not* need to travel to the office to pick up your vasectomy package before the procedure! You are given it after your appointment just before leaving.- To the few complaining about pain/discomfort lasting more than the first week and “not being made aware of the risks”… did you not bother to fully read through the documentation available both on the website as well as repeatedly sent to you in the emails? All of the risks and rates of various complications are explicitly laid out in advance. Every body is different, and there is a small chance of a variety of complications. Choosing to ignore the provided information and then complaining that you wouldn’t have gone through with it if you knew is just ridiculous.One last recommendation for the doctors here: I highly recommend investing the few thousand dollars towards having a professional web design company re-build you a new website from the ground up. The current site is a mess, particularly on modern phones, and this is something that will radically improve the patient experience.Edit 2023/10/24: Wow, the new website is looking great!
Dr. Valerie Dumois did my vasectomy, and she was really quite kind willing to answer questions. It was for the most part painless and the pain you feel is minimal. Reception was also pretty great they answered all my questions to male sire I heal properly. Was great meeting them all and doing it the modern way or a scalpel and needle is definitely in every males favour. Thank you so much for being such great people
Half an hour to my appointment they told me to wait outside(35 degrees celcius) until exactly my appointment. Dr. Bercier if you can call him a doctor had the most rude and disrespectful attitude I've had from a doctor. I asked him three questions to which he said he didn't care. During the procedure I simply asked how long does it take and he replied with "How long do you think it takes? Did you see me with the other patients?" I think his attitude was racially motivated because I'm not French. Don't come here! Go somewhere else!
Great clinic, 5 stars all around. Leading up to the appointment they provide you with fantastic information that explains everything in detail. Great communication, super organized, friendly and professional. Everyone from reception, to the nurse, to the doctor - all were pleasant, efficient, and professional. It was a huge piece of mind. The doctor played my choice of music during the procedure. It was practically painless, with only minor discomfort for a brief moment, and it was quick. I am now recovering comfortably with very detailed instructions about how to enhance my recovery. Thank you Dr. Weiss and Dr. Bercier! Highly recommend.
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