Mission

Spruce Pro Family Clinic’s experienced and compassionate physicians are striving to serve the City of Spruce Grove and the Parkland County Community and the surrounding neighbourhood for decades . They make finding a primary care doctor an easy job. Whether you need an annual checkup , you have a complex health problem or you need a minor office surgical procedure, our dedicated team of primary care experts in Spruce Pro Family Clinic are ready to treat you from head to toe and coordinate your care every step of the way. Our dedicated team includes Certified Family Physicians , Licensed Practical Nurses, Psychotherapists, and Certified Diabetes Educator Pharmacists.
We have convenient office hours that fit your busy family schedule as we work six days of the week including evenings and weekends. It’s easy to get an appointment and our helpful staff is there to provide you with top-quality service from the moment you walk in the door. At Spruce Pro Family Clinic , your health and wellbeing are our primary concern..

Vision

Spruce Pro Family Clinic’s Vision is to keep you healthy for a century, simply by assisting you to  make healthy lifestyle choices and by providing comprehensive, up to date and excellent quality primary and preventive care to every member of the family from infant to the eldest member.

Physicians

Dr. Ragaee. S. Erian (M) , Family Physician ,MD, LMCC, CCFP
Dr. Kamal A. Abduelmula (M) ,General practitioner, MD, MBBCH

Clinic Services

Complete physical examination ,ECG and lung function

Preoperative examination .

Driver’s Medical for class 1,2,3,4,5

Management of chronic diseases , Diabetes , Hypertension , Asthma and COPD

AISH forms , Disability forms and sick notes. (Fee applied )

Life style and preventive medicine

Women’s health including pap test and contraception.

Men’s health including prostate examination.

Preoperative for Dental procedures & for cosmetic surgery ( Fee applied)

Psychotherapist on site ,appointment is required

Diabetic education and management specialized pharmacists

Procedures

Vasectomy , No scalpel technique , by Dr. Erian, covered by AHS

Circumcision for new born babies by Plastibell technique, by Dr. Erian. ( Fee applied )

Ingrown toe nails

Removal of skin moles & skin tags

Removal of lipoma and other lumps

wart treatment by liquid nitrogen

Wart surgical removal

Removal of foreign bodies (Glass, wood , metal objects)

Cortisone injection to shoulders knees, hip bursa and Trigger finger.

Incision and drainage of abscess

Suture of Laceration

Removal of stitches

Regular medications injection by Licensed Practical Nurse (LPN)

Cast application and removal

Introduction to Infant Circumcisions

Infant Circumcisions are available for infant boys, within the first 14 days of life. The procedure takes about 15 minutes using the Plastibell method. Dr. Erian and a nurse will be with your baby at all times. Parents are also welcome to be present during the procedure although this is optional and not required. Both choices will be fully respected.
The fee is $265.00 including GST. Please note this procedure is not covered by Alberta Health Services.

Procedure:

Two kinds of  local anesthetic will be applied , Emla topical cream to numb the skin before injecting the xylocaine ,which is the same freezing the dentists use,  at the base of the penis to cause a nerve block to reduce the pain during, and for about 60 minutes after the procedure.

Preparation

  • A 30 minute appointment is required for the procedure.
  • Do not feed baby Two (2) hours prior to the appointment.
  • Give baby 1/2 ml (40 mg) of Infant Tylenol (80mg/ml strength) One hour prior to the appointment.
  • Arrive 15 min. early to receive further information, to pay the fee ($ 265.0 as it is NOT covered by AHS) and for preparation time.
  • Bring 2 clean disposable diapers and a receiving blanket, as well as a bottle and soother for after procedure.
  • The nurse will take the height, weight and head circumference and Dr. Erian will perform complete physical examination for your baby before the procedure.
  • Erian will explain the plastibell technique to you before the procedure,will answer all your questions and will discuss the after care.

Immediately after

  • We will have a quiet room in the clinic for you to feed your baby, you must start feeding him immediately after either breast or formula.
  • You must stay in the office with your baby for 30 minutes following the procedure as Dr. Erian will check him for bleeding every 15 min.
  • He may require more frequent burping immediately after the procedure as air is swallowed when crying which causes baby to be gassier.

Following the circumcision

  • Expect your son to be a little irritable for the first 48 hours after circumcision.
  • He may need to nurse more frequently.
  • Swaddle him in a blanket if possible as this will keep his legs from kicking and moving his penis and keep him more comfortable.
  • If you feel he is uncomfortable, you may give Infant Tylenol every 4-6 hours for the first few days. (Do NOT use Advil or Motrin as they are derived from aspirin which thins the blood and increases the chances of bleeding.)
  • Blood spotting on the diaper is expected.  Moderate swelling and redness of the head of the penis is expected.  If you notice a continuous ooze of blood, or severe redness around the shaft of the penis, please call the office.  It is not unusual to have a bruise at the base of the penis where the local anesthesia was injected.  This will go away.
  • Bathe baby as usual BUT don’t wipe the penis.
  • At diaper changes, you can clean the penis with soap and water by dripping water from a sponge. (Do not use alcohol, baby wipes or hydrogen peroxide.) . You can apply Vaseline in PLO (traditional thick Vaseline in the jars) however it is not a routine practice with the Plastibell technique.
  • We encourage the use of disposable diapers as they will keep wetness away from the area.
  • The bell will fall off within the first week. If it remains in place after the 7th day, please call the office so that we can evaluate your child and possibly remove the ring. If necessary you may need to schedule a postoperative visit with Dr. Erian 10-14 days after circumcision.

Benefits of Infant Circumcisions

Scientific research has found several advantages to infant circumcision. These include, but are not limited to:

  • Less urinary tract infections, especially in the first year of life (12 times less)
  • Less local infection of the foreskin (posthitis) or the head of the penis (balanitis) (50% less)
  • Reduction in the risk of sexually transmitted infections including HIV (60% less), Herpes (31% less), Syphilis, and Human Papilloma Virus (33% less) – the cause of genital warts in anyone and cervical cancer in women
  • Reduction in sexually transmitted infections in female partners of circumcised men (Bacterial Vaginosis decreased 40%, Trichomonis decreased 48%)
  • Eliminates Phimosis, an often painful inability of the foreskin to pull back over the penis
  • Easier hygiene
  • Virtually eliminates risk of cancer of the penis
  • Some studies suggest less sexual dysfunction later in life
  • Avoidance of need to circumcise later in life when risks are higher (10 times), costs are higher and pain is higher (some estimate between 6% and 10% of boys will require circumcision in their lifetime due to medical reasons)

Risks of Infant Circumcision

As with all surgical procedures, circumcisions do involve some risk. Two main complications that may arise include infection and bleeding. With proper care and supervision, this risk should be minimized.

RISK OF BLEEDING – most often there is little to no bleeding.

Sometimes, (1 time in 100), a small amount of bleeding can happen and it can be stopped with gently applied pressure by the doctor or by yourself. More rarely, (1 time in 4000), there can be excessive bleeding that will require stitches. In very rare circumstances, (1 times in 20,000), a blood transfusion may be required.

RISK OF INFECTION – most often there is no infection after this procedure.

Rarely, (1 time in 1000), there can be an infection that requires the application of topical antibiotics to the penis for several days. More rarely, (1 time in 4000), the baby may be required to have antibiotics given either by mouth or intravenously.

SUBOPTIMAL COSMETIC OUTCOME – most often the circumcision is a cosmetic success.

Occasionally, either too much or too little skin is removed. Rarely, this can require a second surgery for a better outcome.

TRAUMA TO THE PENIS – most often there is no trauma to the penis.

Rarely, the penis itself can be damaged by the procedure, requiring urgent surgical consultation at the hospital. Damage can be done to the urethra (the hole where urine comes out), the glans (the head of the penis), or the shaft of the penis.

DEATH – in very rare cases, death has been caused by circumcision, usually due to undiagnosed medical or bleeding problems in the baby. Between 1954 and 1989, fifty million circumcisions were performed in the USA. Three deaths were reported due to circumcision. Two babies had bleeding disorders and one was a premature infant weighing only 1.9 kg. Surgical complications can, of course, also be a cause for damage resulting in death

.Reasons some infants may need to avoid circumcision

  • There is a family history of bleeding disorder
  • The baby is premature (under 37 weeks at birth)
  • There is a congenital abnormality of the penis (the anatomy of the penis is not normal ex. hypospadias – post-urethral opening instead of the tip)
  • There is a medical disorder in the newborn (ex. hypothyroid, heart disease, infectious disease)
PATIENT INFORMATION REGARDING VASECTOMY

What is a vasectomy?
A traditional vasectomy involves the use of a scalpel to make two incisions in the
skin of the scrotum so that the vas deferens can be severed to prevent sperm
from entering the seminal fluid (ejaculate). Vasectomy is now done by a single
small skin incision in the median raphae of the scrotal skin. The traditional
method requires more anaesthesia (needles sticks) and the risks of infection and
bleeding are higher.

Is vasectomy painful?

Most men feel little, if any, pain with the no-scalpel vasectomy.  There is mild discomfort with the application of anaesthesia.  You may experience a slight tugging sensation during the procedure.  The effects of the anaesthesia will last several hours and this will allow you to go home, lie down, and apply an ice pack.  There will be a small amount of swelling that may last for 3 to 7 days.

Will I need to miss work?

We recommend that you remain sedentary for 2 days following your vasectomy.  You should avoid heavy lifting and strenuous exercise for one week.

Am I immediately sterile?

No.  Sperm will continue to be produced for many years, but these are broken up by the body and absorbed.

Will there still be semen fluid?

Yes.  The prostate and seminal vesicles make the bulk (95) of the fluid and they are not interfered with.  Therefore semen will still be produced, minus the sperm.

What are the chances of my vasectomy failing?

Occasionally, there is an extra tube and sometimes there is recanalization that may occur in less than 1 per 2000 patients.  This rare complication means that you are NOT sterile and can be diagnosed by the presence of sperm in the post-vasectomy specimens.

What are the possible complications?

As with any surgery, regardless of how minor, there are risks of bleeding, pain, and infection.  This is exceedingly rare with the no-scalpel approach and occurs in less than 1 in 2000 patients.  Occasionally, tender swelling at the end of the vas may occur.  This is called a sperm granuloma.  In most cases, no treatment is required.

Are there long term health risks associated with a vasectomy?

No.   Vasectomies were first performed in the USA during the late 1930s.  Many studies have since looked at the lasting health effects and found no long term health risks associated with vasectomy.  In 1993, a panel assembled by the National Institute of Health reaffirmed the conclusion of most medical experts that vasectomy is safe.  Evidence to date for the possibility of increased atherosclerotic risk and cardiovascular effects are inconclusive.

Will a vasectomy affect my sex life?

Your vasectomy will have no effect on your erections, sex drive (libido), hormone levels or performance in any way.  Some feel intercourses is more spontaneous when there is no fear of unwanted pregnancy.

When can I resume sex?

Most patients resume intercourse within the first week following their vasectomy.  You must continue to use some form of effective birth control until a post-surgical semen test shows that no sperm are present.

Is my vasectomy reversible?

In most cases, the vasectomy can be surgically reversed.  The success rate depends on the number of years that have passed from the time of your vasectomy to the time of reversal.  The procedure is quite expensive and requires several hours of microsurgery.   A vasectomy should be considered as a permanent form of sterilization

VASECTOMY POST-OPERATIVE INSTRUCTIONS

DIET You may return to your normal diet as soon as you arrive home.

ACTIVITY Your physical activity should be restricted the first 48 hours.  During this time period, you should remain relatively inactive, moving about only when necessary.  After the first 2 post-operative days, you may return to work, but should avoid heavy lifting (anything greater than 15 lbs) and also avoid strenuous exercise.

You must wear tight briefs for the first several days, even while sleeping.  This keeps the scrotum immobilized and helps prevent swelling.

Ice packs could be placed on top of your jockey shorts, but not in direct contact with your scrotum.  Using ice or frozen peas in a zip-lock bag works best and is a good pain reliever as well as helping to reduce swelling.  Ice should be used whenever possible for the first 2 days.

NOTE:  Commercial freezing products such as blue ice are NOT to be used next to the skin.  These products are much colder than ice and can cause skin damage.

It is recommended that you wait at least 7 days before resuming sexual activities.  You may resume intercourse if you are not having discomfort.  Having ejaculations too soon after vasectomy may increase the change of minor problems.

WOUND        Some bruising or minor oozing from the skin opening, swelling, or mild tenderness of the scrotum are not unusual.  It is also not unusual to see occasional blood staining the semen with the first several ejaculations following a vasectomy.

SUTURES      In most cases, your skin opening will have one dissolving suture and the wound will close spontaneously in one week.  The suture will dissolve within the first 2-3 weeks.

Circum Consent

Please  download the consent , completed and bring it with you.

Vasectomy Consent

Please  download the consent , completed and bring it with you.

Find Us
Contact
Adress : Unit 30-172 Highway 16A Spruce Grove, AB, T7X 3X3
Working Hours :

Monday: 9-6

Tuesday: 9-6

Wednesday: 9-8

Thursday: 9-8

Friday: 9-5

Saturday: 9-4

Sunday: Closed

Phone : 780-948-1559

Fax : 780-431-9730