There are several reasons why a child may need to be circumcised. Among other things, it can be due to medical reasons, such as Phimosis where the foreskin is sealed to the penis glans which prevents it from retracting properly. A foreskin that is not dilated is not necessarily a reason to resort to circumcision since this problem usually corrects itself over time. There are other non-medical reasons for circumcision such as cultural, religious and personal beliefs.
At the urology clinic of Dr. Carlos Marois, circumcision is preceded by an initial consultation and evaluation. During this consultation, a short questionnaire is administered, a physical examination is performed and all the different techniques are explained to the parents. The circumcision process is mostly difficult among children aged 2 to 5 years. It happens rarely that we consider the child too young or too agitated for the operation; we will not perform the circumcision under local anesthesia then. If it is medically required, it is possible to have it done in a hospital under general anesthesia. If it is not medically required, then it is best to wait at least a year to re-evaluate the child to determine if he has reached the level of maturity required for circumcision under local anesthesia.
Afterwards, either the circumcision is performed during the same appointment or we schedule a second one. So, it is often possible to have the evaluation and circumcision done in one single appointment, depending on the cause of the circumcision. However, a normal test has to be performed and the child has to be mature enough to collaborate and listen to the instructions, if any. Also, the child must not have clotting disorders.