College of Physicians and Surgeons of Ontario: Difference between revisions
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==Circumcision policy== | ==Circumcision policy== | ||
The CPSO does not recognise the right to [[physical integrity]] provided by Section Seven of the Charter as a patient right, so it permits doctors to perform [[circumcision]] of boys without [[medical indication]]. | The CPSO does not recognise the right to [[physical integrity]] provided by Section Seven of the Charter as a patient right, so it permits doctors to perform [[circumcision]] of boys without [[medical indication]]. | ||
===Deaths=== | |||
The permissive policy of the CPSO has resulted in deaths of infant boys in Ontario from non-indicated circumcision.<ref name="cairns2007">{{REFjournal | The permissive policy of the CPSO has resulted in deaths of infant boys in Ontario from non-indicated [[circumcision]].<ref name="cairns2007">{{REFjournal | ||
|last=Cairns | |last=Cairns | ||
|init=J | |init=J | ||
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|accessdate=2022-08-24 | |accessdate=2022-08-24 | ||
|quote= | |quote= | ||
}}</ref> | }}</ref> Schröder et al. (2021) reorted that two previously healthy boys died after circumcision at the Hospital for Sick Children.<ref name="shroder2021">{{REFjournal | ||
|last=Schröder | |last=Schröder | ||
|first=Annette | |first=Annette | ||
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|DOI=10.1016/j.euf.2021.12.005 | |DOI=10.1016/j.euf.2021.12.005 | ||
|accessdate=2022-01-15 | |accessdate=2022-01-15 | ||
}}</ref></blockquote> | }}</ref> | ||
===Complications=== | |||
A recent survey of [[Complication| complications]] of non-therapeutic, non-indicated circumcision carried out at the [https://www.sickkids.ca/ Hospital for Sick Children] in Toronto, Ontario reported: | |||
<blockquote> | |||
Neonatal circumcision (NNC) is the most frequently performed surgical procedure worldwide and is generally considered safe in Western societies. Deaths attributed to NNC are seldom reported and are mostly explained by lack of adherence to medical standards. We reviewed our emergency department database for circumcision-related emergency admissions. During 2000–2013, 19 previously healthy neonates were admitted for acute complications after circumcision. Four were admitted for bleeding, with hemophilia identified in two cases and von Willebrand disease in one. Eight boys required emergency surgery, three for severe bleeding. Four boys with amputation of the glans underwent immediate surgical reconstruction. One infant was taken to the operating room to remove an obstructing Plastibell ring. Seven boys were admitted to the intensive care unit with severe bleeding or sepsis, three of whom ultimately progressed to hemorrhagic or septic [[shock]]. Two of these children died of their complications. We estimate that the annual incidence of severe complications requiring hospitalization after NNC in the Greater Toronto Area was approximately 0.01%, and the incidence of fatalities over the 14-yr review period was approximately 0.0012%. Our results indicate that the risk of serious complications and [[death]] as a result of NNC is greater than generally assumed.<ref name="shroder2021" /></blockquote> | |||
==Right of appeal== | ==Right of appeal== | ||