Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life

Abstract

Introduction Male circumcision is recognized as the most effective method of phimosis treatment. Analyzing the literature, the information about the influence of male circumcision due to phimosis for patients' subjective symptoms such as itching, burning, penile pain, pain during intercourse, and quality of sexual life is insufficient. Aim To investigate the effect of male circumcision due to phimosis to patients' subjective symptoms, including erectile function and satisfaction with their genitals. Methods The single-center prospective study began in January 2018 and ended in January 2020. Sixty-nine male, adult patients, who were qualified for circumcision due to phimosis, were included in the study. Main Outcomes Measures The study outcomes were obtained using questionnaires such as visual analog scale 0-10 for itching, burning, penile pain, and penile pain during intercourse; International Index of Erectile Function (IIEF-5) and Male Genital Self Image Scale 7 (MGSIS-7) to assess the changes in patients sexual functioning. Results Before the circumcision of the 69 patients included in the study, 59 patients (86%) reported some subjective symptoms of phimosis. The most frequent and most severe complaint was pain during intercourse, then itching and burning of the penis. Penile pain at rest was the least frequent. After 3 months from circumcision, subjective symptoms almost completely disappeared. All of 69 patients declared to have a sexual partner. 3 months after circumcision, all patients achieved significant improvement in both obtaining and maintaining an erection based on IIEF-5 score. Their sexual intercourse was more satisfying for them. All patients suffering from phimosis were embarrassed about their genitals before surgery. 3 months after circumcision, satisfaction with genital self-image increased significantly. Conclusion Male circumcision due to phimosis is not only relieving the clinical symptoms of phimosis, but it also improves the quality of sexual life. Czajkowski M, Czajkowska K, Zarańska K, et al. Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life. Sex Med 2021;9:100315.

Can circumcision be avoided in adult male with phimosis? Results of the PhimoStopTM prospective trial

“…Czajkowski et al published the results from a prospective study on 69 patients undergoing circumcision. In this study, 3 months after surgery, all patients achieved significant improvement in both obtaining and maintaining an erection based on IIEF-5 score; moreover, there was an improvement in satisfaction with genital self-image, as confirmed by MGSIS-7 score (15). In our study, only IIEF-5 score showed a statistically significant improvement after treatment, while MGSIS-7 score did not show any improvement compared to the baseline.…”

“…Regarding the subjective and objective assessment using patients self-reported information and questionnaires on various domains of sexual function, about 15% of the patients reported an improvement in erectile function and ejaculation time. The theory that phimosis resolution may help the patient to live his sexuality with less stress and anxiety leading to the improvement in erectile and ejaculatory functions was already proposed by several authors who showed the positive effect on sexual life in patients who undergone circumcision due to better erectile function and positive genital self-image (15,16).…”

The Morphological Classification of the Penile Frenulum in Chinese's People and its Clinical Application Value in the Frenulum Malposition of Circumcision with the Disposable Circumcision Suture Device (DCSD)

“…When this happening, the remedy method was to remove the suturing nail 3-4 cm near the penile frenulum and resew the wound with silk to correct the unsatis ed realignment of frenulum cut. If not, even if this does not affect the physiology function in most cases, it does affect the penis physical appearance and sexual psychological sometimes, both the patient and their sexual partner, occasionally induce the algopareunia [5]. We reported the morphological classi cation of the frenulum in Chinese individules.…”

The distribution of the clinical variables in a population of adult males circumcised for phimosis: A contribution to the clinical classification of phimosis

“…In this way, the quality of the Randomized Clinical Trials, Systematic Reviews and Meta-Analyses regarding the quality of the sex life in patients affected by phimosis following a circumcision and in those not circumcised can be improved. Furthermore, this classification, in defining more homogenous sub-groups, can contribute to identifying and better characterizing the cause-effect relationship for impor- tant diseases, such as cancer of the penis (16)(17). In fact, although there is a lot of evidence demonstrating this relationship, such as the different lifetime risks of penile cancer in circumcised men (1 in 50.000-120.000) (17)(18) and in those uncircumcised (1 in 600-900) (19) and the observation that the benefits of the circumcision are greater if the surgery is done precociously (20).…”