Male circumcision is a central feature of both Judaism and Islam. It is also important in some African and other cultures. The welfare of the child is paramount and healthcare workers must act in the child’s best interests. The child’s lifestyle and likely upbringing are relevant factors to take into account, as male circumcision can provide social or cultural benefits to the child by integrating him better into his community and enhancing his identity and sense of belonging to a family or society.
Circumcision for religious reasons is currently funded by NHS Scotland. We would perform this as a day case procedure under general anaesthesia. It is not done before 6 months of age, but can be at any age thereafter. Boys are normally seen first in the out-patient clinic to ensure that there is not a condition, such as buried penis or hypospadias, which would make circumcision contra-indicated and to counsel the parents.
We ask for consent from both parents where circumcision is being performed for non-medical reasons.
If the GP does not agree to the referral on non-clinical grounds, he or she should suggest an alternative doctor to the patient, in accordance with the GMC’s advice that the patient has the right to seek a second opinion.
FM, LS, JB Sept 22
Who to refer:
Children whose parents’ religion or belief means they want their male child to be circumcised. Referral should take place after the six week check but parents should be made aware that the procedure will not be done before 6 months of age.
How to refer:
Referral is via SCI Gateway
Referral Priority
Referrals for circumcision on religious/cultural grounds will be triaged as routine.
Surgical Priority
Circumcision on religious/cultural grounds is a non-urgent procedure.
Currently waiting times for both an out-patient appointment and a non-urgent surgical procedure are prolonged.
