Pierre Crouse

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Pierre Crouse is a Canadian physician centered in Calgary, Alberta, Canada. One of his main practices is non-therapeutic infant circumcision, he has a website[1] and he advertises in parents' magazines and even on city busses.[2]

Pierre Crouse.jpg
Pierre Crouse
Colleagues & Benefactors:
Neil Pollock
Murray Katz

The Canadian Urological Association says "neonatal circumcision cannot be justified based on the current evidence available."[3]

Contents

Crouse and Pollock websites are nearly identical

Crouse's website is a near mirror-image of that of Neil Pollock's. Some of the diagram images he uses are exactly the same, and some of the statements are repeated verbatim. Like Pollock, Crouse espouses the Mogen technique,[4] and he advertises it as "new, safe, and virtually painless",[5] as well being "quick, [with] minimal discomfort, and virtually bloodless."[6]

Except for a few changes in wording, Pollock and Crouse's "Parents' Guide to Circumcision" pages are nearly identical, advertizing the Mogen technique as taking less than a minute, and advertising identical pain control methods of Tylenol, sugar, and a local anaesthetic injection.[7]

Pollock and Crouse's "Parents' Guide to Circumcision" pages can be compared here and here.

Misleading information

Like Neil Pollock, the information that Pierre Crouse dispenses is misleading, it conflicts with information provided on his own website, or it is simply not true.

"Virtually bloodless"

"Virtually bloodless" appears in Pierre Crouse's website exactly as it does on Neil Pollock's, and just the same, information on blood control can be found on other parts of Crouse's website.[8][9]

"Virtually painless"

Like Neil Pollock, Pierre Crouse promises the Mogen technique,[10] along with his pain control methods to be "painless," affirming his customers with his surgical and anaesthesia background.[11] As Pollock, Pierre Crouse announces that the pain control methods used are Tylenol, sugar, a topical cream, and a local anaesthetic injection.[7] The topical anaesthetic only serves to numb the area to lessen the pain of the injection, but studies have shown that a dorsal penile ring block is not always effective in stopping the pain of circumcision.[12][13] During the circumcision, the child is given sugar to "reduce his pain perceptions", but in at least one study, data shows that giving sugar to a child doesn't help to reduce the perception of pain in the child.[14] Post-operative pain and the pain the child must endure during recovery is hardly, if ever, addressed.

Circumcision pain actually is severe and traumatic.

"Under one minute"

In a manner similar to Neil Pollock, Pierre Crouse promises a circumcision procedure that takes "under one minute,"[7] but this doesn't take into account the fact that the child must first have topical anaesthetic applied, and then be given the dorsal penile ring block for which there is a 10 minute waiting period for the injection to take effect.

"A new technique"

As Neil Pollock, Pierre Crouse sells the Mogen circumcision technique as a new and recent development.[15] Strangely enough, Pollock's website uses language that suggests that he uses state-of-the-art techniques and equipment that no other surgeon possesses, by warning against others who try to "emulate" him.[16] Closer inspection reveals that neither Pollock nor Crouse is doing anything "new." The Mogen clamp was invented in 1954,[17] but it is actually one of many successors to the much older, traditional barzel device.[18]

What Crouse may not tell parents about Mogen

Pollock and Crouse peddle the Mogen technique, but what they may not tell parents is that the Mogen clamp has been notorious for glans amputations, even among experienced conductors of circumcision.[19] Mogen went out of business[20] after losing a 10.8 million dollar law suit,[20] after a mohel[20] severed the end of a baby's glans [20] using one of their clamps. Mogen claimed that injury was impossible with its use.[20] The injury behind a prior lawsuit in Fulton County Superior Court had already put Mogen on notice about the danger of the device.[20] In a different case, at South Fulton Medical Center, another law suit was won against Mogen in 2009.[20] In that case, a child lost a third of his glans, and the plaintiffs were awarded 2.3 million dollars.[20]

Lack of third-party payment

Third-party payment for non-therapeutic circumcision is not available in Canada, so anyone seeking a non-therapeutic circumcision must pay out of pocket.

See also

References

  1. ↑   Intramed Medical Centre - Infant Circumcision, Intramed. Retrieved 4 May 2011.
  2. ↑   (4 May 2011)."Newborn circumcision popular in Alberta", CBC News. Retrieved 4 May 2011.
    Quote: Dr. Pierre Crouse is a city physician who performs circumcisions. He advertises in parents' magazines and even on a city bus.
  3. ↑   Dave S, Afshar K, Braga L, Anderson P. Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants (full version). Can Urol Assoc J. February 2018; 12(2): E76-99. PMID. PMC. DOI. Retrieved 7 July 2020.
  4. ↑   Parents’ guide to Circumcision, Intramed. Retrieved 4 May 2011.
    Quote: At Intramed, Dr. Crouse performs the Mogen circumcision technique.
  5. ↑   Intramed Medical Centre - Infant Circumcision, Intramed. Retrieved 4 May 2011.
    Quote: Learn more about the Mogen Circumcision Technique, a new, safe and virtually painless procedure performed in less than a minute.
  6. ↑   Intramed Medical Centre - Infant Circumcision, Intramed. Retrieved 4 May 2011.
    Quote: Quick, Minimal Discomfort, Virtually Bloodless
  7. ↑ a b c   Parents’ guide to Circumcision, Intramed. Retrieved 4 May 2011.
    Quote: Our procedure takes less than 1 minute. (many times faster than most hospital circumcisions) We use extensive pain control methods including Tylenol, a sugar solution (to reduce pain perception), topical freezing and a local anesthetic injection.
  8. ↑   After the Circumcision, Intramed. Retrieved 19 March 2020.
    Quote: First, the cut edge seals and the bleeding ceases within minutes, hours, or even over the course of an entire day.
  9. ↑   Frequently asked questions, Intramed. Retrieved 19 March 2020.
    Quote: A small amount of bleeding is normal.
  10. ↑   Kaweblum Y, Press S, Kogan L. Circumcision using the mogen clamp. Clin Pediatr (PA). December 1984; 23: 679-82. PMID. DOI. Retrieved 6 August 2020.
  11. ↑   About Dr. Crouse, Intramed. Retrieved 4 May 2011.
    Quote: With his surgical and anesthesia background he is convinced that the Mogen circumcision technique with 4 steps pain control protocol is the most effective and painless method available.
  12. ↑   Taeusch HW, Martinez AM, Partridge JC, Sniderman S, Armstrong-Wells J, Fuentes-Afflick E. Pain During Mogen or Plastibell Circumcision. Journal of Perinatology. April 2002; 22(3): 214-218. Retrieved 8 April 2011.
    Quote: ...more than half of the study group had what we considered excessive pain/discomfort over the course of the entire procedure.
  13. ↑   Williamson PS, Evans ND. Neonatal Cortisol Response to Circumcision with Anesthesia. Clinical Pediatrics. August 1986; 25(8): 412-416. Retrieved 8 April 2011.
    Quote: The adrenal cortisol response to surgery was not significantly reduced by the administration of lidocaine.
  14. ↑   Slater R, Cornelissen L, Fabrizi L, Patten D, Yoxen J, Worley A, Boyd S, Meek J, Fitzgerald M. Oral sucrose as an analgesic drug for procedural pain in newborn infants: a randomised controlled trial. the Lancet. 9 October 2010; 376(9748): 1225-1232. Retrieved 8 April 2011.
    Quote: Our data suggest that oral sucrose does not significantly affect activity in neonatal brain or spinal cord nociceptive circuits, and therefore might not be an effective analgesic drug. The ability of sucrose to reduce clinical observational scores after noxious events in newborn infants should not be interpreted as pain relief.
  15. ↑   Intramed Medical Centre - Infant Circumcision, Intramed. Retrieved 4 May 2011.
    Quote: Learn more about the Mogen Circumcision Technique, a new, safe and virtually painless procedure performed in less than a minute.
  16. ↑   (8 April 2011). Pollock Clinics Infant Circumcision. Retrieved 8 April 2011.
    Quote: You may notice other local websites, desperately attempting to emulate Dr.Pollock both in name of website and content. Please be clear when researching your son's circumcision, that the methods and techniques for providing this surgery are only as meaningful as the operating physician's experience, without which, any method or technique is potentially dangerous.
  17. ↑   Use of the Mogen clamp for neonatal circumcision. Retrieved 8 April 2011.
    Quote: The Mogen clamp was invented in 1954 by Rabbi Harry Bronstein, a Brooklyn mohel.
  18. ↑   (8 April 2011). Methods of circumcision, circumstitions.com. Retrieved 8 April 2011.
    Quote: The barzel (Hebrew for iron) also known as a mogen (Hebrew for shield) s a slotted shield to =
  19. ↑   Taeusch HW, Martinez AM, Partridge JC, Sniderman S, Armstrong-Wells J, Fuentes-Afflick E. Pain During Mogen or Plastibell Circumcision. Journal of Perinatology. 22(3): 214-218.
    Quote: ...approximately 10% of the glans of a newborn was amputated (it was reattached surgically) during a Mogen circumcision carried out by two of our most experienced physicians.
  20. ↑ a b c d e f g h   Tagami, Ty (19 July 2010)."Atlanta lawyer wins $11 million lawsuit for family in botched circumcision", The Atlanta Journal-Constitution. Retrieved 8 April 2011.
    Quote: The company is going out of business, according to a woman who answered the phone at its Brooklyn headquarters Monday.
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