Circumcision unnecessary, say Sask. doctors
Canadian Press, CTV and various newspapers across Canada, February 21, 2002
REGINA - Routine circumcisions on baby boys is an unnecessary medical procedure, the College of Physicians and Surgeons of Saskatchewan said Wednesday.
"For almost 2 1/2 decades now the Canadian Pediatric Society has pointed out there really is no research evidence to suggest benefit from the procedure that outweighs the risks of performing the procedure," said college registrar Dr. Dennis Kendel.
The college has issued a memo to doctors urging them to discuss the issue with parents and to effectively convey the message it is not a recommended procedure.
Kendel also pointed out the the incidence of infant male circumcision in Saskatchewan "is very high compared to some other jurisdictions in the country."
Provincial Health Department figures for 2000-2001 indicate 27.6 per cent of infant males were circumcised in Saskatchewan compared to 1.5 per cent in Nova Scotia and .6 per cent in Newfoundland and Labrador.
"It is quite a remarkable difference," said Kendel, who added a lot of doctors take a neutral position and do strictly whatever the parents prefer.
Kendel said parents often make the decision about their child relative to whether the father is circumcised.
In August 1996 the provincial Health Department deinsured the procedure in part because it recognized there were relatively few medical indications to support it. The Ontario Health Insurance Plan delisted circumcisions last June.
The American Academy of Pediatrics, the largest pediatrics group in the U.S. and Canada, said in a March 1999 report that the medical benefits of circumcision aren't compelling enough to recommend the procedure routinely.
"It really isn't good medical practice to perform a procedure where there is no evidence of expected benefits and there are some real risks," Kendel said.
Male Circumcision, the unkindest cut
By Dr. Gifford Jones
Special to C-Health
ABC News, U.S.A., by Susan Donaldson James, March 12, 2012
New York City is investigating the death last September of a baby who contracted herpes after a "ritual circumcision with oral suction," in an ultra-Orthodox Jewish ceremony known in Hebrew as metzitzah b'peh.
The district attorney's office in Kings County Brooklyn is investigating the death of the 2-week-old baby at Maimonides Hospital, but would not disclose the name of the mohel or whether there would be a prosecution.
The 5,000-year-old religious practice is seen primarily in ultra-Orthodox and some orthodox communities and has caused an alarm among city health officials. In 2003 and 2004, three babies, including a set of twins, were infected with Type 1 herpes; the cases were linked to circumcision, and one boy died.
The mohel who performed the procedures, Yitzchok Fischer, was later banned from doing circumcisions, according to The New York Times. It is not known if he was involved in this recent death.
"It's certainly not something any of us recommend in the modern infection-control era," said Dr. William Schaffner, chair of preventive medicine at Vanderbilt University.
"This is a ritual of historic Abraham that's come down through the ages, and now it has met modern science," he said. "It was never a good idea, and there is a better way to do this." (The modern Jewish community uses a sterile aspiration device to clean the wound in a circumcision.)
In the 2004 death and the more recent one, a mohel infected the penile wounds with Type 1 herpes I (HSV-1), which affects the mouth and throat. It is different from Type 2 or genital herpes (HSV-2), which is a sexually transmitted disease and can cause deadly infections when a newborn passes through an infected birth canal.
Neonatal herpes is "almost always" a fatal infection, according to Schaffner. "It's a bad virus. [Infants] have no immunity and so it's a very serious illness. Now we have another death -- an unnecessary, incredibly tragic death."
The Canadian Press
Dec. 22, 2011
VANCOUVER - A B.C. man who performed a botched circumcision on his four-year-old son on the kitchen floor of his home has lost an appeal of his conviction and been found guilty of a more serious charge.
The B.C. Court of Appeal has stayed the man's conviction for criminal negligence causing bodily harm and convicted him of aggravated assault.
Court heard the boy was born premature at only 2.5 pounds and could not be circumcised at the time, nor did his parents request it.
South Korean Doctors
Peak age of circumcision of males in Korea is 12 years old! Read More ..
UTIs are rare
"Of every 1,000 boys who are circumcised 2 will be admitted to hospital for a urinary tract infection (UTI) before they are one year old."
"Of every 1,000 boys who are not circumcised 7 will be admitted to hospital for a UTI before they are one year old. "
Sur 1 000 garÃ§ons circoncis 2 seront hospitalisÃ©s en raison d'une infection urinaire avant l'Ã¢ge d'un an.
Sur 1 000 garÃ§ons non circoncis 7 seront hospitalisÃ©s par suite d'une infection urinaire avant l'Ã¢ge d'un an.
Anyone who states that urinary tract infections are common among newborn baby boys, and therefore advocates that the genital mutilation of boys ( male circumcision) will stop urinary tract infections, is a liar or misinformed.
Besides, urinary tract infections are entirely treatable.
Men's News Daily Online
Commentary on the David Reimer botched circumcision / gender changed case
CanadianCRC editor's Note: Reminder about our policy: Many sides of an issue are expressed in articles on this website. Many articles contain points of view which should be heard but are not the position of the Canadian Children's Rights Council.
Read what the medical profession associations have to say on this issue
The BMA does not believe that parental preference alone constitutes sufficient grounds for performing a surgical procedure on a child unable to express his own view. . . . Parental preference must be weighed in terms of the child's interests. . . . The BMA considers that the evidence concerning health benefit from non-therapeutic circumcision is insufficient for this alone to be a justification for doing it. . . . Some doctors may wish to not perform circumcisions for reasons of conscience. Doctors are under no obligation to comply with a request to circumcise a child. Read More ..
Five-week-old infant died after he was circumcised at Penticton hospital
Vancouver, British Columbia
August 29, 2002
The Kamloops coroner is investigating the case of an infant who died last week from complications following his circumcision at Penticton Regional Hospital.
The five-week-old child was released after the procedure last Tuesday morning, but his parents went back to talk to the doctor later that day with concerns about bleeding. They returned home, but the situation worsened overnight, forcing them to rush the child back to hospital early Wednesday.
The infant was flown by air ambulance to Vancouver, where he died last Thursday in B.C. Children's Hospital.
"It certainly seems to be unusual," coroner Ian McKichan said yesterday. "It's definitely something that warrants an investigation, because it's a totally unexpected sort of death."
Deaths following circumcision are almost unheard of, but like any operation, bleeding and infection are the greatest dangers.
The case raises questions about an increasingly rare operation which stirs controversy in some circles.
"The bottom line is that circumcision is becoming a less-common procedure," said Dr. Morris Van Andel, registrar of the College of Physicians and Surgeons of B.C. "It's no longer an insured service -- it's considered an option. That makes it all the Read More ..stressing when you hear about something like this."
According to Penticton hospital officials, the operation to remove the foreskin from the child's penis was conducted by a physician with 16 years' practice in British Columbia.