A neonate is born with hypospadias. At what age should circumcision typically be performed?

Circumcision is typically recommended to be postponed in cases of hypospadias until after 6 months, often until the child is 2 years old or older. This is because performing circumcision at birth or earlier may interfere with the surgical repair of the hypospadias, as the foreskin may be used in the reconstruction of the urethra. The delay allows for proper timing of surgical interventions and more favorable outcomes.

In contrast, early circumcision could also lead to complications, including the risk of infection or injury during the procedure if not done with careful consideration of the child's condition. Hence, waiting until after 1 year, or particularly after 2 years, aligns with recommended practices in managing hypospadias and optimizing surgical outcomes. This approach is supported by the fact that the anatomy may become more stable and easier to work with as the child grows.