circumcision

"A more recent review of studies in this area finds no association between circumcision and any adverse psychological effects," he added.

Ms Klass described the material, which included notes referencing circumcision and saying the ring sent in the post was for the "holy protection" of a "worthy high priestess", as "utterly visually disturbing".

Although an autopsy is still being conducted to establish the cause of her death, many people have linked it to FGM, or female circumcision, a cultural practice outlawed in the West African state.

“Just a few of them, especially when they are uncircumcised, developed a serious deformity, but that was not only related to the lack of circumcision but also to the skills of the injector.”

Doctors for one patient described the stitching as “the equivalent of a female circumcision,” the lawsuit said.