What is the best next step in management for a newborn male with a request for circumcision and normal urethral anatomy?

In the management of a newborn male with a request for circumcision and normal urethral anatomy, the most appropriate next step is to ensure that all relevant factors have been considered before proceeding with the procedure. A urology evaluation is particularly important, as it can help assess any underlying issues, such as phimosis or other anatomical concerns, that may not be immediately apparent but could affect the decision to circumcise. Additionally, a urologist can provide insights into the potential risks and benefits of circumcision, as well as perform the procedure if it is deemed appropriate.

While circumcision is a common procedure and may be requested by parents based on cultural, religious, or perceived health benefits, it is best practice to confirm that the infant does not have any contraindications or additional considerations that need to be addressed first. Proper evaluation can help prevent complications and ensure that the decision aligns with the best interest of the child.

The other responses, such as observation, parent education, or proceeding with circumcision without evaluation, do not take into account the importance of initial assessment by a specialist in ensuring that the surgical intervention is safe and appropriate.