In this video, he is referring to how some American parents would bring their child to a doctor with the complaint that the child was exploring his or her own genitalia in a sexual way. In these cases, the doctor would often diagnose the cause as an 'irritated' glans hood. In order to reduce the child's pleasure-motive(the whole underside of the foreskin is sexually sensitive to stimulation as opposed to the non-sexual shaft skin) and to reduce the ease of the child masturbating(circumcised males often need to use artificial lubrication to masturbate without rubbing themselves raw), the doctor would then circumcise the child.