Etymed
circumcision
Definition
surgical removal of the foreskin of the penis
Clinical context
A 3-year-old male presents to the pediatric clinic with recurrent urinary tract infections and balanitis. His parents report that the child has had difficulty with hygiene due to tight foreskin that cannot be retracted. The pediatrician explains that circumcision is indicated for recurrent infections and phimosis. A 6-year-old boy presents with his parents for evaluation of a tight foreskin that has never been retractable since birth. The pediatric urologist explains that the child likely has physiological phimosis and should be observed until age 5-6, but if symptoms persist, surgical removal of the foreskin would be indicated.
Mnemonic
CIRCUMCISION = C - Chronic infections, I - Inflammatory, R - Recurrent UTIs, U - Uncircumcised, M - Medical indication, P - Phimosis, T - Tight foreskin, I - Inadequate hygiene, O - Obstruction, N - Neonatal foreskin, S - Surgical removal, I - Inflammation, O - Obstruction, N - No retraction, C - Chordee, T - Trauma, I - Infection, O - Obstruction, N - No retraction, S - Surgical indication