Somatosensory evoked potentials assess the efficacy of circumcision for premature ejaculation

Jd, Xia; Hs, Jiang; Ll, Zhu; Zhang, Z; Chen, H; Yt, Dai

doi:10.1038/ijir.2016.21

Cited by 11 publications

(9 citation statements)

References 27 publications

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“…severity of erectile dysfunction (ED) based on the IIEF-5 score (severe 1-7; moderate 8-11; mild to moderate 12-16; mild 17-21; no erectile dysfunction [22][23][24][25]. As per this scale, before circumcision, a particular number of patients belonged to the mentioned groups: 23 (33.3%) severe; 4 (5.8%) moderate; 8 (11.6%) mild to moderate; 14 (20.3%) mild; 20 (29.0%) no ED.…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2021

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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.

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Section: Resultsmentioning

confidence: 99%

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

et al. 2021

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“…Level of evidence Grade Secondary data from RCTs 1þþ A Kigozi et al 20,08 7 Krieger et al 20,08 8 Systematic reviews 1þ A Morris & Krieger 2013 15 Tian et al 2013 18 Shabanzadeh et al 20 Yang et al 2018 19 Meta-analyses 1þ A Tian et al 2013 18 Yang et al 2018 19 Longitudinal cohort studies 2þþ B Nordstrom et al 2017 27 Galukande et al2017 28 Retrospective cohort studies 2þþ B Laumann et al 1997 30 Mao et al 2008 21 Ferris et al 2010 31 Hoschke et al 2014 33 Homfray et al 2015 35 Chinkoyo & Pather 2015 36 Jönsson et al 2015 37 Collins et al 2002 38 Fink et al 2002 41 Senkul et al 2004 42 Physiological measurements 2þþ B Waldinger et al 2005 51 Waldinger et al 2009 53 Alp et al 2014 55 Xia et al 2016 58 Penile sensitivity Physiological measurements 2þþ B Bleustein et al 2005 59 Payne et al 2007 60 Bossio et al 2016 64 Secondary data from RCT 1þþ A Krieger et al 2008 8 Systematic Reviews 1þ A Cox et al 2015 12 Morris & Krieger 2013 15 Shabadnazeh et al 20…”

Section: Type Of Study and Referencesmentioning

confidence: 99%

“…56,57 In 2016, Xia et al measured somatosensory evoked potentials (SEP) of 81 men who were circumcised to treat redundant prepuce or PE. 58 The latency of the glans penis SEP was prolonged after 59 Measurement assessed vibration, pressure, and spatial perception, together with thermal thresholds for warmth and cold. Uncircumcised men were tested with and without their foreskin retracted.…”

Section: Physiological Measurementsmentioning

confidence: 99%

The Contrasting Evidence Concerning the Effect of Male Circumcision on Sexual Function, Sensation, and Pleasure: A Systematic Review

Morris

Krieger

2020

Sexual Medicine

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Introduction: Active debate concerns whether male circumcision (MC) affects sexual function, penile sensation, or sexual pleasure. Aim: To perform a systematic review examining the effect of MC on these parameters. Methods: PRISMA-compliant searches of PubMed, EMBASE, the Cochrane Library, and Google Scholar were performed, with "circumcision" used together with appropriate search terms. Articles meeting the inclusion criteria were rated for quality by the Scottish Intercollegiate Guidelines Network system. Main Outcome Measure: Evidence rated by quality. Results: Searches identified 46 publications containing original data, as well as 4 systematic reviews (2 with meta-analyses), plus 29 critiques of various studies and 15 author replies, which together comprised a total of 94 publications. There was overall consistency in conclusions arising from high-and moderate-quality survey data in randomized clinical trials, systematic reviews and meta-analyses, physiological studies, large longitudinal studies, and cohort studies in diverse populations. Those studies found MC has no or minimal adverse effect on sexual function, sensation, or pleasure, with some finding improvements. A consensus from physiological and histological studies was that the glans and underside of the shaft, not the foreskin, are involved in neurological pathways mediating erogenous sensation. In contrast to the higher quality evidence, data supporting adverse effects of MC on function, sensation, or pleasure were found to be of low quality, as explained in critiques of those studies. Conclusion: The consensus of the highest quality literature is that MC has minimal or no adverse effect, and in some studies, it has benefits on sexual functions, sensation, satisfaction, and pleasure for males circumcised neonatally or in adulthood.

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“…In a study, Gallo performed distal circumcision to men with lifelong PE and reported that distal circumcision is an effective treatment for PE (Gallo, 2017). Xia et al investigated men circumcised in adult life, who had somatosensorial evoked potentials, and did not find a therapeutic or pathological effect of circumcision on PE (Xia et al., 2016). However, the psychological effect of circumcision, especially on children is a neglected field with only a handful of studies having been published.…”

Section: Discussionmentioning

confidence: 99%

The relationship between premature ejaculation and the timing of pre‐adult circumcision

et al. 2021

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We aimed to investigate the relationship between premature ejaculation and the age when men had been circumcised before adulthood. A total of 2,768 sexually active male patients aged between 18 and 65 years were included in this study. A multicentre study was conducted prospectively with the participation of 20 centres. A survey consisting of 12 questions prepared by the researchers, as well as the validated Turkish versions of the five‐item Premature Ejaculation Diagnostic Tool, was administered to all participants. The study included 1,603 participants who met the inclusion criteria. There was no significant difference in the Premature Ejaculation Diagnostic Tool and self‐reported ejaculation time between the participants who had been circumcised at different ages during childhood. Remembering circumcision experience with fear or anxiety did not increase the risk of sexual dysfunction compared to the participants who described their experience with happiness or with no particular emotion. There was no significant difference in Premature Ejaculation Diagnostic Tool scores or the self‐reported ejaculation time of the participants circumcised at different ages. The age of childhood circumcision, having a fearful or anxious circumcision experience, does not affect the risk of premature ejaculation in adult life.

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Somatosensory evoked potentials assess the efficacy of circumcision for premature ejaculation

Cited by 11 publications

References 27 publications

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

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

The Contrasting Evidence Concerning the Effect of Male Circumcision on Sexual Function, Sensation, and Pleasure: A Systematic Review

The relationship between premature ejaculation and the timing of pre‐adult circumcision

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