Another day, another round of uncritical media coverage of an empirical study about circumcision and sexual function. That's including from the New York Times , whose Nicholas Bakalar has more or less recycled the content of a university press release without incorporating any skeptical analysis from other scientists. That's par for the course for Bakalar. The new study is by Jennifer Bossio and her colleagues from Queen's University in Ontario, Canada: it looked at penile sensitivity at various locations on the penis, comparing a sample of men who had been circumcised when they were infants meaning they had their foreskins surgically removed , with a sample of men who remained genitally intact meaning they kept their foreskins into adulthood. What did the researchers discover?
Bigelow J. In the circumcised Erogeous, without the foreskin cuff, the exposed coronal rim acts as a one-way valve to pull lubrication out of the vagina, while the taut shaft skin carries moisture out of the body with each outstroke where it is repeatedly exposed to air drying. The ridged mucosa also gives the foreskin its Erogenous tissue loss after circumcision taper Fleiss and Hodges, 7. Goksan, S. For this comparison, you can get away with fewer participants.
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We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. It is similar to male circumcision. Medical indications of circumcision in children Circumcision is recommended for acquired phimosis, paraphimosis, recurrent balanitis, and recurrent urinary tract infections. Moreover, proposals for mass circumcision lack a thorough and objective consideration of costs in relation to hoped-for benefits. CircWatch website. Proc Mayo Clinic ; 34 : Erogenous tissue loss after circumcision of Erogenous tissue loss after circumcision Circumcised as Adults Shows Mixed Results Men circumcised as adults were surveyed to assess erectile function, penile sensitivity, sexual activity and overall satisfaction. Low-self esteem, resentment, avoidance of intimacy, and depression were also noted. The contents of this website are for information only and are not intended to replace consultation with the appropriate medical practitioner. They described the Nude bratz pics band in this way:. When magnified, the ridged mucosa has a pebbled or coral-like appearance. The term Infibulation refers to the use of clasp infibula to keep the cut edges of the vagina together. References Moore KL. In Judaism male circumcision is considered a commandment from God.
A hypothesis is that SIDS is the result of cumulative perinatal painful, stressful, or traumatic exposures that tax neonatal regulatory systems.
- Form and function go hand in hand in anatomy.
- A hypothesis is that SIDS is the result of cumulative perinatal painful, stressful, or traumatic exposures that tax neonatal regulatory systems.
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- In this paper Dr John Warren shows how the harm of circumcision arises from the operation itself, when all goes well and as planned, not merely when there are complications.
- Circumcision is one of the oldest and the most controversial surgical procedures performed worldwide and is almost universal among Muslim and Jewish men.
- The prepuce is usually dismissed as skin [ 1 ],[ 2 ] or, less often, it is seen as a simple fold of skin and mucosa [ 3 ].
A hypothesis is that SIDS is the result of cumulative perinatal painful, stressful, or traumatic exposures that tax neonatal regulatory systems. Methods: We collated latitudinal data from 15 countries and 40 US states sampled during and Globally weighted : Increase of 0.
US weighted : Increase of 0. Conclusions: The results show an association and call for cohort studies with the aim of improving the identification of at-risk infants and reducing infant mortality.
Critics of non-therapeutic male and female childhood genital cutting claim that such cutting is harmful. Might a similar phenomenon apply to neonatally circumcised men? In this survey of US American men, greater endorsement of false beliefs concerning circumcision and penile anatomy predicted greater satisfaction with being circumcised, while among genitally intact men, the opposite trend occurred: greater endorsement of false beliefs predicted less satisfaction with being genitally intact.
These findings provide tentative support for the hypothesis that the lack-of-harm reported by many circumcised men, like the lack-of-harm reported by their female counterparts in societies that practice FGC, may be related to holding inaccurate beliefs concerning unaltered genitalia and the consequences of childhood genital modification.
This survey attempts to identify factors contributing to concerns of men claiming dissatisfaction with or ascribing harm from their neonatal circumcision. This sample size of men involved an online questionnaire with opportunities to upload photographic evidence. Respondents revealed wide-ranging unhealthy outcomes attributed to newborn circumcision. Survey results establish the existence of a considerable subset of circumcised men adversely affected by their circumcisions that warrants further controlled study.
Empirical investigations alone, however, may be insufficient to definitively identify long-term effects of infant circumcision. As with non-therapeutic genital modifications of non-consenting female and intersex minors, responses are highly individualistic and cannot be predicted at the time they are imposed on children.
Findings highlight important health and human rights implications resulting from infringements on the bodily integrity and future autonomy rights of boys, which may aid health care and human rights professionals in understanding this emerging vanguard of men who report suffering from circumcision.
We recommend further research avenues, offer solutions to assist affected men, and suggest responses to reduce the future incidence of this problem. Limited understanding of infant pain has led to its lack of recognition in clinical practice. While the network of brain regions that encode the affective and sensory aspects of adult pain are well described, the brain structures involved in infant nociceptive processing are less well known, meaning little can be inferred about the nature of the infant pain experience.
Using fMRI we identified the network of brain regions that are active following acute noxious stimulation in newborn infants, and compared the activity to that observed in adults. Significant infant brain activity was observed in 18 of the 20 active adult brain regions but not in the infant amygdala or orbitofrontal cortex.
Brain regions that encode sensory and affective components of pain are active in infants, suggesting that the infant pain experience closely resembles that seen in adults. This highlights the importance of developing effective pain management strategies in this vulnerable population. Data collected from self-report questionnaires resulted in the following findings.
The sensitivity of the foreskin and its importance in erogenous sensitivity is widely debated and controversial. The present study shows in a large cohort of men, based on self-assessment, that the foreskin has erogenous sensitivity. It is shown that the foreskin is more sensitive than the uncircumcised glans mucosa, which means that after circumcision genital sensitivity is lost. For the glans penis, circumcised men reported decreased sexual pleasure and lower orgasm intensity.
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.
For the penile shaft a higher percentage of circumcised men described discomfort and pain, numbness and unusual sensations. This study confirms the importance of the foreskin for penile sensitivity, overall sexual satisfaction, and penile functioning. Before circumcision without medical indication, adult men, and parents considering circumcision of their sons, should be informed of the importance of the foreskin in male sexuality.
In the present study there is strong evidence on the erogenous sensitivity of the foreskin. In a survey of parents attending prenatal classes, when the father of the expected baby was circumcised, When the father of the expected child was not circumcised, This preliminary study investigates what role early trauma might have in alexithymia difficulty in identifying and expressing feelings acquisition for adults by controlling for male circumcision. Three hundred self-selected men were administered the Toronto Twenty-Item Alexithymia Scale checklist and a personal history questionnaire.
The circumcised men had age-adjusted alexithymia scores Alexithymia in this population of adult men is statistically significant for having experienced circumcision trauma and for erectile dysfunction drug use.
See link to article on our home page. Circumcised men were more likely to report frequent orgasm difficulties, and women with circumcised spouses more often reported incomplete sexual needs fulfillment and frequent sexual function difficulties overall, notably orgasm difficulties, and painful sexual intercourse.
Thorough examination of these matters in areas where male circumcision is more common is warranted. Premature ejaculation PE is common. However, it has been underreported and undertreated. The aim of the study was to determine the prevalence of PE and to investigate possible associated factors of PE. This cross-sectional study was conducted at a primary care clinic over a 3-month period in Men aged years attending the clinic were recruited, and they completed self-administered questionnaires.
A total of men were recruited with a response rate of Their mean age was The prevalence of PE was No significant association was found between age and PE. These associations need further confirmation. Based on responses to a survey questionnaire, physicians stated that they based their circumcision position on medical evidence.
However, the circumcision status of the male respondents played a huge role in whether they were in support of circumcisions or not. No mainstream media article has reported on an opposing view, as described in the findings of the following five medical articles.
Further research is required to assess the feasibility, desirability and cost-effectiveness of circumcision to reduce the acquisition of HIV. This paper endorses the need for such research and suggests that, in its absence, it is premature to promote circumcision as a reliable strategy for combating HIV. Since articles in leading medical journals as well as the popular press continue to do so, scientific researchers should think carefully about how their conclusions may be translated both to policy makers and to a more general audience.
The importance of addressing ethico-legal concerns that such trials may raise is highlighted. The understandable haste to find a solution to the HIV pandemic means that the promise offered by preliminary and specific research studies may be overstated. This may mean that ethical concerns are marginalized. Such haste may also obscure the need to be attentive to local cultural sensitivities, which vary from one African region to another, in formulating policy concerning circumcision.
An article endorsed by thirty-two professionals questions the results of three highly publicized African circumcision studies. The studies claim that circumcision reduces HIV transmission, and they are being used to promote circumcisions. Substantial evidence in this article refutes the claim of the studies. A survey of South African men showed that circumcision had no protective effect in the prevention of HIV transmission.
This is a concern, and has implications for the possible adoption of mass male circumcision strategy both as a public health policy and an HIV prevention strategy. The findings suggest that behavior change programs are more efficient and cost effective than circumcision. Providing free condoms is estimated to be significantly less costly, more effective in comparison to circumcising, and at least 95 times more cost effective at stopping the spread of HIV in Sub-Saharan Africa.
In addition, condom usage provides protection for women as well as men. The push to institute mass circumcision in Africa, following the three randomized clinical trials RCTs conducted in Africa, is based on an incomplete evaluation of real-world preventive effects over the long-term — effects that may be quite different outside the research setting and circumstances, with their access to resources, sanitary standards and intensive counseling.
Moreover, proposals for mass circumcision lack a thorough and objective consideration of costs in relation to hoped-for benefits. No field-test has been performed to evaluate the effectiveness, complications, personnel requirements, costs and practicality of proposed approaches in real-life conditions.
These are the classic distinctions between efficacy and effectiveness trials, and between internal validity and external validity. Campaigns to promote safe-sex behaviors have been shown to accomplish a high rate of infection reduction, without the surgical risks and complications of circumcision, and at a much lower cost. For the health community to rush to recommend a program based on incomplete evidence is both premature and ill-advised.
Given these problems, circumcision of adults, and especially of children, by coercion or by false hope, raises human rights concerns. A questionnaire was used to study the sexuality of men circumcised as adults compared to uncircumcised men, and to compare their sex lives before and after circumcision. The study included sexually active men, of whom were circumcised and were not. There was a decrease in masturbatory pleasure and sexual enjoyment after circumcision, indicating that adult circumcision adversely affects sexual function in many men, possibly because of complications of the surgery and a loss of nerve endings.
A sensitivity study of the adult penis in circumcised and uncircumcised men shows that the uncircumcised penis is significantly more sensitive. The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface. Five locations on the uncircumcised penis that are routinely removed at circumcision are significantly more sensitive than the most sensitive location on the circumcised penis.
In addition, the glans head of the circumcised penis is less sensitive to fine touch than the glans of the uncircumcised penis. The tip of the foreskin is the most sensitive region of the uncircumcised penis, and it is significantly more sensitive than the most sensitive area of the circumcised penis. Circumcision removes the most sensitive parts of the penis. This study presents the first extensive testing of fine touch pressure thresholds of the adult penis. The monofiliment testing instruments are calibrated and have been used to test female genital sensitivity.
The debate about the advisability of circumcision in English-speaking countries typically has focused on potential health factors. The position statements of committees from national medical organisations are expected to be evidence-based; however, the contentiousness of the ongoing debate suggests that other factors are involved.
Various potential factors related to psychology, sociology, religion, and culture may also underlie policy decisions. These factors could affect the values and attitudes of medical committee members, the process of evaluating the medical literature, and the medical literature itself. Although medical professionals highly value rationality, it can be difficult to conduct a rational and objective evaluation of an emotional and controversial topic such as circumcision. A negotiated compromise between polarized committee factions could introduce additional psychosocial factors.
These possibilities are speculative, not conclusive. It is recommended that an open discussion of psychosocial factors take place and that the potential biases of committee members be recognized. A cost-utility analysis, based on published data from multiple observational studies, comparing boys circumcised at birth and those not circumcised was undertaken using the Quality of Well-being Scale, a Markov analysis, the standard reference case, and a societal perspective.
If neonatal circumcision was cost-free, pain-free, and had no immediate complications, it was still more costly than not circumcising. Using sensitivity analysis, it was impossible to arrange a scenario that made neonatal circumcision cost-effective.
The large survey of the effects of circumcision on sexual function in Denmark, by Frisch et al. The effect of malecircumcision on sexual satisfaction and function, results from a randomized trial of male circumcision for human immunodeficiency virus prevention, Rakai, Uganda. Conditions for the studies were unlike conditions found in real-world settings. ID: CDC Chancroid frequently occurs on the external and internal surfaces of the foreskin,[ 18 ] hence circumcision may be more protective against chancroid than against syphilis and herpes, where lesions tend to be found more on the male genitalia. Christopher Report mark Islay Posted 3 years ago.
Erogenous tissue loss after circumcision. More Information
'My son killed himself after circumcision' - BBC News
Background and Aim : Premature ejaculation PE is the most prevalent sexual dysfunction in every country. There are many types of treatment, but the main limitation of medical treatment for premature ejaculation is recurrence after withdrawal of medicine.
The prepuce is a specific erogenous zone that contains a rich and complex network of nerves. Circumcision radically desensitizes the penis, but incomplete circumcision may cause premature ejaculation. We evaluate the effect of removal of foreskin remnants in adults on PE. Materials and Methods : The sensitive area of penile skin and the remaining parts of foreskin in adult men were recognized in 47 selective patients.
Under local anesthesia, the remnant parts of foreskin were incised and removed. They were asked to fill the investigating questionnaire about the changes of intravaginal latency ejaculatory time IVELT , patients and their sexual partners' satisfaction with sexual life, control over ejaculation, and penile sensitivity, before and after treatment. Results : There were no signs of inflammation and no serious adverse reactions in all cases after operation.
IVELT significantly increased from After surgery, Conclusions : These results indicate that removal of foreskin remnants in adults is an effective modality in selective patients of PE. This article has been cited by 1 Impact of varicocelectomy on premature ejaculation in varicocele patients A. Gomaa Andrologia. Gallo Andrologia. May Der Urologe. Asian Journal of Andrology. Turk Uroloji Dergisi.
Indian Journal of Urology. Page layout. Editorial Board Subscribe Advertise Contact. Removal of foreskin remnants in circumcised adults for treatment of premature ejaculation. Urol Ann ; Figure 1: a, Schematic normal anatomy of uncircumcised human foreskin; b1, c1, and d1 show schematic incision types that lead to incomplete circumcision and foreskin remained as shown in b2, c2, and d2, respectively, e shows the schematic final appearance of penile skin after removal of remnants of foreskin Click here to view.
Figure 2: Superior left and inferior right aspects of patient's penis before a1, b1 and after a2, b2 removal of foreskin remnants Click here to view. Materials and Methods. Table 1: Scores of sexual functions in men and their partner before and after removal of foreskin remnants as a method for treatment of premature ejaculation Click here to view. Jannini EA, Lenzi A.
Epidemiology of premature ejaculation. Curr Opin Urol ; Role of postcircumcision mucosal cuff length in lifelong premature ejaculation: A pilot study. J Sex Med ; Waldinger MD. The neurobiological approach to premature ejaculation. J Urol ; Hosseini SR. Does a constriction ring alter ejaculation latency? BJU Int ; Safarinejad MR. Analysis of association between the 5-HITTLPR and STin2 polymorphoisms in the serotonin transporter gene and clinical response to a selective serotonin reuptake inhibitor sertraline in patients with premature ejaculation.
Salvage use of citalopram for treatment of fluoxetine-resistant premature ejaculation in recently married men: A prospective clinical trial. Urol J ; Wylie KR, Ralph D. Premature ejaculation: The current literature. Polymorphisms of the serotonin transporter gene and their relation to premature ejaculation in individuals from Iran. Once-daily high-dose pindolol for paroxetine-refractory premature ejaculation: A double-blind, placebo-controlled and randomized study.
J Clin Psychopharmacol ; Effects of glans penis augmentation using hyaluronic acid gel for premature ejaculation. Int J Impot Res ; Zargooshi J. Unconsumated marriage: Clarification of aetiology; treatment with intracorporeal injection. The prepuce: Specialized mucosa of the penis and its loss to circumcision. Br J Urol ; Zwang G. Functional and erotic consequences of sexual mutilation. Sexual mutilations: A human tragedy. New York: Plenum Press; Circumcision in adults: Effect on sexual function.
Urology ; The prepuce. The prepuce and circumcision: Dual application as a graft. Ann Plast Surg ; Foreskin development before adolescence in schoolboys.
Int J Urol ; Histologic characteristics of the human prepuce pertaining to its clinical behavior as a dual graft. Statistics Center of Iran, Survey. Adult circumcision outcomes study: Effect on erectile function, penile sensitivity, sexual activity and satisfaction. Correlation between premature ejaculation and redundant prepuce.
Zhonghua Nan Ke Xue ; Uncircumcision: A historical review of preputial restoration. Plast Reconstr Surg ; Penile sensitivity and sexual satisfaction after circumcision: Are we informing men correctly? Urol Int ; The effect of male circumcision on the sexual enjoyment of the female partner. Circumcision in the United States: Prevalence, prophylactic effects and sexual practice. JAMA ; This article has been cited by.
Impact of varicocelectomy on premature ejaculation in varicocele patients. Does circumcision have a relationship with ejaculation time? Premature ejaculation evaluated using new diagnostic tools. Patients affected by premature ejaculation due to glans hypersensitivity refuse circumcision as a potential definite treatment for their problem. Circumcision - The German debate and its medical basics [Zirkumzision - Die deutsche debatte und ihre medizinische basis]. New insights on premature ejaculation: A review of definition, classification, prevalence and treatment.
New insights on premature ejaculation: a review of definition, classification, prevalence and treatment. Complete foreskin removal in adult circumcision: Is it a new direction to definitive cure of premature ejaculation.
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