The Effect of Circumcision on Male Sexual Function
Keywords:Circumcision, Male, Ejaculation, Erectile Dysfunction, Male Sexual Dysfunction, Physiological, Premature Ejaculation
Introduction: The effect of circumcision on male sexual function is controversial and may have positive or negative effects on various domains of sexuality (erectile function, ejaculation, orgasm, desire). We aimed to assess the sexual function before circumcision and after circumcision.
Methods: The sample was composed for all patients circumcised by the same surgeon (principal investigator) in the last 26 months, under the age of 60 and with recent sexual activity. For evaluation of sexual function before and after circumcision we used the International Index of Erectile Function-5 (IIEF-5) questionnaire (Portuguese validated version) and Brief Male Sexual Function Inventory (BMSFI), (the pre-circumcision data was obtained retrospectively).
It was also questioned the reason for circumcision, the intravaginal ejaculatory latency time (IELT) and the degree of satisfaction with the procedure. The interviews were in person or by telephone.
Results: The sample was composed for 25 patients with a mean age of 36.3 ± 10.3 years (lim: 22-55). The evaluation was performed on a mean time of 11.4 ± 5.4 months after the surgery (lim: 5-26). Of all patients, 52.0% reported an improved sex life, 44.0% did not note any difference and 4.0% reported worse sex life. A total of 92.0% of the patients would repeat the surgery.
There were no statistical significant differences between pre-circumcision and post-circumcision results concerning IELT (p=0.608), sexual satisfaction (p=0.130), BMFSI total score (p=0.054) and IIEF-5 score (p=0.351).
There was a correlation between BMFSI score (before and after circumcision) and IIEF-5 score (before and after circumcision), respectively (p<0.001).
Conclusion: Circumcision does not seem to influence the sexual function of patients. Most patients would repeat the procedure and report improvements in their sex life after surgery.
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