Separation of the foreskin from the glans occurs naturally between birth and age 18, which is why forcible separation is not required for adult circumcision. Infant circumcision involves the forced separation of these structures, which can tear portions of the glans that are tightly adhered to the foreskin. Also, some circumcision devices (e.g., Sheldon clamp) can sever all or part of the glans, or fail to shield the glans from the scalpel used to remove the foreskin.
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