Imagine being so incapable of washing your penis that you need a bunch of it removed.

They should have said “Imagine being so incapable of washing your child’s penis that you need a bunch of it removed.”

A child’s penis in a dirty diaper could get quite nasty with foreskin if the parents don’t wash and change the diaper regularly.

The cleanliness thing is for the lack of parenting. And the parents make that choice.