It's a "circling manuever" and you don't fly around at "low altitude", you maintain a published MDA derived from a survey of obstacles and terrain. And you're NOT maneuvering for the purpose of "trying to stay visual". You're maneuvering the aircraft into a normal position to land within the lateral-limit protected area in order to leave the MDA, just like any other non-precision approach. If you can't see the runway by the MAP you fly the missed. If you can see the runways but can't maneuver to that position, you fly the missed. If you begin to exceed the lateral limits, you fly the missed just as you do while flying any approach, precision or non-precision.