This was intended to help surgeons who undertake circumcision to adequately inform their patients of the outcomes related to sexual intercourse and penile sensitivity. The data was collated and cross-referenced with all other patient information. Warren JP, Bigelow J: Statistics Two-tailed paired t test was used to compare pre-operative and post-operative IIEF-5 score changes across the study group table 1. Dreamstime A new study suggesting that circumcision can decrease sexual pleasure is drawing the fire of scientists in the field, who say the findings are flawed. Having the procedure done in infants is less complicated than circumcising adults. Br J Sex Med ; This is due to differing knowledge bases and the inconsistency amongst senior doctors. A free text comments box was also provided.
Four patients were excluded because they only partially completed the questionnaire. Having the procedure done in infants is less complicated than circumcising adults. They found that uncircumcised men were more likely to experience sexual dysfunction, especially later in life. This knowledge hopefully can help doctors and patients in their decision on circumcision for non-medical reason. The American Academy of Pediatrics has concluded that circumcision's benefits outweigh its risks and that no well-done studies find a reduction of sensitivity. In the present study there is strong evidence on the erogenous sensitivity of the foreskin. No histology was available for 8 patients. They did not find any clinically important adverse effects of circumcision on sexual function. In spite of that we suggest that before circumcision, men should be warned of the long-term consequences penile sensations and effect on erectile function as well as be talked through the more traditional subjects peri-operative complications. They also stated more effort was required to achieve orgasm, and a higher percentage of them experienced unusual sensations burning, prickling, itching, or tingling and numbness of the glans penis. Br Med J ; 2: All these men were sexually active before and after surgery and had no history of erectile dysfunction. A recently published study by Enkul et al. The study, published in February in the British Journal of Urology International, found that circumcised men reported less sexual sensitivity than their uncut brethren. Furthermore, this study shows that a higher percentage of circumcised men experience discomfort or pain and unusual sensations as compared with the uncircumcised population. It has been shown that training on how to obtain informed consent varies considerably [ 5 ]. Flawed sample But the sample population may be problematic, Diekema said. Studies show circumcision reduces HIV transmission in high-prevalence areas, such as Africa, and reduces urinary tract infection and penile cancer incidence. They demonstrated that there were no significant differences in penile sensation between circumcised and uncircumcised men with respect to vibration, spatial perception, pressure, warm and cold thermal thresholds in patients with and without erectile dysfunction. The sensitivity of the foreskin and its importance in erogenous sensitivity is widely debated and controversial. When people ask dozens of questions, statistics predict that you will get some significant differences between groups just by chance, Morris said. Br Med J ; Consent and clinical governance: In comparison to men circumcised before puberty, men circumcised during adolescence or later indicated less sexual pleasure at the glans penis, and a higher percentage of them reported discomfort or pain and unusual sensations at the penile shaft. For the penile shaft a higher percentage of circumcised men described discomfort and pain, numbness and unusual sensations. We have demonstrated that in adults, circumcision does not appear to have significant adverse effect on sexual function. This keratinisation causes reduction of the penile sensation, hence reducing enjoyment.
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