Boyd Winslow, MD

Boyd Winslow, MD

Dr. Winslow specializes in circumcision.

Experience

Dr. Boyd Winslow served for 15 years on the faculty of Eastern Virginia Medical School in Norfolk, reaching the rank of professor of urology. Dr. Winslow came to Richmond in 1995 and joined Virginia Urology, and in 2006 started Children’s Urology of Virginia. In 2017, Dr. Winslow established Dr. Winslow 44, focusing on circumcision at 41-44 weeks after conception,

Practice

Dr. Winslow’s practice makes full use that experience to provide services that help parents make healthy, well-informed decisions about circumcision for their newly-born sons. In an effort to contribute to the long-term health of baby boys, he now directs his surgical skills to providing only first-time circumcisions for infants between 41-44 weeks old.

Education

Dr. Winslow was educated at Harvard College and Harvard Medical School, and trained at the Massachusetts General Hospital in adult and pediatric urology.

Testimonials

Dr. Winslow is amazing at what he does. Thank you Dr. Winslow for your professionalism, kindness, and for explaining everything so thoroughly and clearly. Jan 2021
Dr. Winslow performed circumcisions on both of our sons. He does excellent work with great results. He is very informative, and took great care of our sons and us before, during, and after the procedure. We highly recommend him and will choose him again if God gives us more sons. Please recognize Dr. Winslow and Nurse Chelsea. B. Nov 2020
Dr. Winslow could not have been more attentive and informative regarding the procedure and recovery process. Maverick T. Aug 2019
It was a pleasure meeting Dr. Winslow. He has an excellent bedside manner. Although his website was very thorough, he still took the time to explain everything in great detail. I definitely felt like he took pride in his work and genuinely cared about the outcome of my son’s circumcision. His staff was also great. Thank you for a wonderful experience! L.M. May 2019
From start to finish it was a great experience. Dr. Winslow was most attentive throughout every stage. Heidi S Apr 2019
Dr. Winslow is the kindest and most informative physician I have encountered. He is meticulous in his procedure and explains everything thoroughly. His two nurses were lovely as well. The receptionist at check-in was so kind and showed me a quiet place to nurse my baby. William G Jul 2018
Dr. Winslow was very informative and even continued to answer my questions post surgery. His team helped my husband and I feel comfortable during the circumcision surgery. Mar 2018
Dr. Winslow and his nurses were fabulous! As were as Dietra at check-in. John Aug 2017
Our one year old had surgery with Dr. Winslow at SPSC. Each nurse and doctor we interacted with was fantastic with our son, they were friendly and you could tell they had experience around young children. While we knew this was routine procedure, it is nerve wrecking watching your child go into surgery. The medical staff at Stony Point put us at ease before, during and after his surgery. L. Dye Apr 2016
Very knowledgeable staff. Dr. Winslow was great and explained the process very well. Told us what he was going to do, what to expect during recovery. Camden M. Mar 2016
Dr. Boyd Winslow and the nurses that cared for our son - as well as Dr. Janes, the anesthesiologist, were amazing and very helpful in answering any questions we had. They eased our minds as worried parents. Kim & Daniel Apr 2014

Awards

2019 MEDARVA Patient Choice Award

2019 MEDARVA Patient Choice Award

2020 MEDARVA Patient Choice Award

2020 MEDARVA Patient Choice Award

Videos

How young are your patients?

Pediatric Urologist Dr. Winslow explains that he can begin treatments very early on in a child's development. He even offers counseling to expectant mothers who have been advised to see a pediatric urologist based on existing prenatal criteria.

Julie: How young are the patients you operate on when you do go ahead into the OR?

Dr. Winslow: As a general rule for a non-life threatening problem, we would like the child to be at least 6 months old, and it has to do more with considerations by our anesthesiologists. Beyond about six months, the child’s respiratory drive is safe. They are big enough to be easy to put an IV in. We certainly operate on much smaller children though if they have dangerous obstructive conditions, and we actually see the unborn. We have plenty of consultations with moms who come with a video from the maternal fetal medicine. “They saw this, and what do you think about this?” And it gives us a chance to counsel them about what we would do after the child is born. What are the prospects? How do we monitor? So we get involved very early and stay with it for a long time.

Is circumcision painful?

Pediatric Urologist Dr. Winslow reassures parents that the American Academy of Pediatrics and the American College of Obstetrics and Gynecology mandate that a local anesthesia be used to control the pain during a circumcision.

Julie Bragg: Is it painful for the child? How do you manage that? We don’t really know how they feel.

Dr. Winslow: Well, in a newborn, circumcision would certainly be painful, although I’ve heard many people say, “Oh, it’s just such a quick procedure, just do it! They won’t notice.” It is actually mandated now by the American Academy of Pediatrics and the American College of Obstetrics and Gynecology that pain control should be a part of the procedure, and it has been another thing fueling the debate. When I do them, I always apply a local anesthesia ointment, I administer a block with a fine little injection, and I take pride in doing a circumcision as a child doses off, and I am comfortable enough about it that I invite the parents to be in the room with me, because I find that they are much more at ease when they know that that is how we took care of the child instead of bringing them back screaming and maybe not nursing well. Yeah, pain is a part of it. I also think that if you do not control pain, then you also do not have the luxury of adjusting the circumcision skin clamping device to remove the skin properly, and you tend to hurry more, and I like it to have it come out perfect.

When to make an appointment?

Pediatric Urologist Dr. Winslow discusses normal and abnormal genital development in infants.

Julie: When I was a new mom who has a son, I was not really sure the way things should look when they are so tiny, so I guess it is better to just ask, make the appointment? Dr. Winslow: We welcome the opportunity if you are worried about it. The last thing we want is for you to be worried about the appearance. You know, of course, your pediatrician can help, but one of the things that pediatric surgeons and pediatric urologists have to do is be mindful of where the child is in development. Every baby has a lot of fat under their skin. That is the good Lord’s way of insulating them against vacillations in temperature, and sometimes that baby fat, which is not the same as obesity, can get in the way of seeing the penis protrude, but we would rather have the chance to look and tell you, because there can be some who have scarring that can be released while they are little, and there are some where we are simply going to tell you, you know what, he is going to outgrow that. You are not alone in that idea, “Gee, it just doesn’t look right, but I was not sure what the norm is”. That is where we can help you.

What are the most common problems treated?

Pediatric Urologist Dr. Winslow says that the most common health issues he treats are UTIs, bed wetting, structural defects in the kidneys or urinary tract and genital deformities.

Julie: What are the most common problems you treat?

Dr. Winslow: Pediatric urology involves everything to do with a child’s urinary tract. We treat urinary tract infections and wetting, and structural defects that cause the kidneys to be dilated. My personal area of interest is genital deformities, which are far more common than one can imagine.

Is UTI Painful?

Pediatric Urologist Dr. Winslow discusses evaluating and treating Urinary Tract Infections.

Julie Bragg: A lot of people end up running into urinary tract infections, boys or girls. Is that something you treat? Is that normally just treated by a pediatrician?

Dr. Winslow:</strong That is another loaded question. In my span of time in pediatric urology, it was always something the pediatricians treated, and there were funny rules in the old textbooks of pediatrics, that “oh, if a little girl has a urinary tract infection three times, then she should go to the pediatric urologist.” Well, all of that is really no longer cogent in the discussion because we now have non-scary and non-invasive ways to evaluate the structure of the urinary tract. What we want to know is, does the child get urinary infections simply because they are in the midst of potty training and they don’t like to go and they are trying to hold it too long? Even that, we are willing to help, but more importantly, do they have a problem causing urinary infections that is a structural defect that might lead to some deterioration in kidney or urinary tract function? It is so much easier now to find out because with ultrasound we can look at the structure of the urinary tract very early. Yes, we get very involved with treating and evaluating urinary infections.

What is a pediatric urologist?

Pediatric Urologist Dr. Winslow explains that the practice of pediatric urology includes anything in regards to abnormalities in the kidneys, urinary tract, excretory organs or genitals in children.

Julie: I am Julie Bragg, and I am here with Dr. Boyd Winslow. Dr. Winslow, you are a pediatric urologist. So what does that really mean?

Dr. Winslow: A pediatric urologist is a specialist in the care of children who have disorders in their urinary tracts.

Julie: What are the most common problems that you treat?

Dr. Winslow: Well, there are lots of problems. The urinary tract of course runs from the kidneys down to the excretory organs, the penis, or the urethra, and anything in between. We also deal with other genital issues, the boy’s testicles, for example. People would think it is not very common, but actually 40% of all congenital abnormalities are in the urinary tract in children.

How common is genital reconstructive surgery?

Pediatric Urologist Dr. Winslow talks about his experience with genital reconstructive surgery and stresses that this type of surgery is more common than most would expect.

Julie: So, genital reconstructive surgery for a little boy isn’t uncommon?

Dr. Winslow: Not at all. The thing that I spent the most time in my training on, and most of my career, this is 31 years and counting, is in the reconstruction of something called hypospadias, one in every 200 male births. Again, it is not something that you would find out from your friends, “ You know, hey, my boy’s penis has a hole in the wrong place.”, but it is very challenging surgery, it is very prevalent, and it seems to be on the rise. So, I spend a lot of time at that.