The relationship between age of circumcision and premature ejaculation

Premature ejaculation a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration, and the inability to delay ejaculation on all or nearly all vaginal penetrations, and negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy. The effects of circumcision on PE have been the subject of much debate. There is also a great deal of disagreement about the appropriate age for circumcision. This study aims to investigate the relationship between circumcision age and premature ejaculation. The Intravaginal Ejaculatory Latency Time (IVELT) scale was used to measure the time interval between penetration and intravaginal ejaculation. Using the International Index of Erectile Function (IIEF-5), all cases’ scores were evaluated. Using Premature Ejaculation Diagnostic Tool (PEDT) and ISSM definition of premature ejaculation, PE was diagnosed in patients. Participants’ age of circumcision varied from 1 year to 20 years (mean ± SD 8.5 ± 4). The range of IVELT, PEDT, and IIEF values was 0 to 600 (mean ± SD 63.4 ± 89.16), 4 to 18 (mean ± SD 11.65 ± 31), and 24 to 29 (mean ± SD 26.7 ± 1.4). IVELT in the two groups of circumcision age under 7 and over 7 was significantly different (p-value = 0.01). It is observed that participants who are circumcised under 7 have a longer intravaginal ejaculation time than those who are circumcised over 7. These results showed no significant difference between PEDT (p-value = 0.6) and IIEF (p-value = 0.3) values between the two groups. It was concluded that PE is much more common in men circumcised after the age of 7, and the duration of IVELT decreases with the increase in circumcision age.

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Althof SE, Chris G McMahon, Marcel D Waldinger, et al. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE). J Sexual Med. 2014;11:1392-422.

Alp BF, Uguz S, Malkoc E, et al. Does circumcision have a relationship with ejaculation time? Premature ejaculation evaluated using new diagnostic tools. Int J Impot Res. 2014;26:121-3.

Armagan A, Silay MS, Karatag T, et al. Circumcision during the phallic period: does it affect the psychosexual functions in adulthood? Andrologia. 2014:46:254-7.

Aydur E, Aydur E, Gungor S, et al. Effects of childhood circumcision age on adult male sexual functions. Int J Impot Res. 2007;19:424-31.

Carson C, Gunn K, Premature ejaculation: definition and prevalence. Int J Impot Res. 2006;18:5-13.

Cortés-Gonzalez JR, Jorge A Arratia- Maqueo, Montelongo RM, et al. Does circumcision affect male’s perception of sexual satisfaction. Arch Esp Urol. 2009;62:733-6.

Cüceloğlu EA, Evren Hoşrik M, Ak M, et al. The effects of age at circumcision on premature ejaculation. Turk Psikiyatri Derg. 2012;23:99- 107.

McMahon CG, Althof SE, Waldinger Marcel D, et al. An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation. J Sex Med. 2008;5:1590-606.

Serefoglu EC, McMahon CG, Waldinger MD, et al. An evidence‐based unified definition of lifelong and acquired premature ejaculation: Report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. J Sex Med. 2014;11:1423-41.

Porst H. Burri A. Novel treatment for premature ejaculation in the light of currently used therapies: A review. Sex Med Rev. 2019;7:129-40.

Waldinger MD. Premature ejaculation: state of the art. Urolog Clin North Am. 2007;34:591-9. 12. Circumcision A.A.o.P.T.F.o., Circumcision policy statement. Pediatrics. 2012;130:585.

Boyle GJ, Goldman R, Svoboda SJ, et al. Male circumcision: pain, trauma and psychosexual sequelae. J Health Psychol. 2002;7:329-43.

Cansever G, Psychological effects of circumcision. Br J Med Psychol. 1965;38:321-31.

Morris, BJ. Krieger JN. Does male circumcision affect sexual function, sensitivity, or satisfaction?—a systematic review. TJ Sex Med. 2013;10:2644-57.

Ongun S, Dursun M, Egriboyun S. The effect of post-circumcision mucosal cuff length on premature ejaculation. Can Urol Assoc J. 2020;14:309-12.

Ozturk OM. Ritual circumcision and castration anxiety. Psychiatry, 1973,36:49-60.

Pryor JL, Stanley E Althof, Steidle C, et al., Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials. Lancet. 2006;368:929-37.

Rhinehart J. Neonatal circumcision reconsidered. Transactional Analysis J. 1999;29:215-21.

Rosen RC, Cappelleri JC, Smith MD, et al., Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impotence Res. 1999;11:319-26.

Rouprêt M, Babjuk M, Compérat E, et al. European association of urology guidelines on upper urinary tract urothelial cell carcinoma: 2015 update. Eur Urol. 2015;68:868-79.

Serefoglu E, Cimen HI, Ozdemir AT, et al. Turkish validation of the premature ejaculation diagnostic tool and its association with intravaginal ejaculatory latency time. International journal of impotence research, 2009;21:139-44.

Serefoglu EC, Yaman O, Cayan S et al. Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey. J Sex Med. 2011;8:540-8.

Sorrells ML, Snyder JL, Reiss MD, et al. Fine‐touch pressure thresholds in the adult penis. BJU Int. 2007;99:864-9.

Symonds T, Perelman MA, Althof S,et al. Development and validation of a premature ejaculation diagnostic tool. Eur Urol. 2007;52:565-73.

Gallo L, Perdonà S, GalloA. EJACULATORY DISORDERS: The Role of Short Frenulum and the Effects of Frenulectomy on Premature Ejaculation. J Sexual Med. 2010;7:1269-76.

Yang Y, Wang X, Bai Y, et al. Circumcision does not have effect on premature ejaculation: a systematic review and meta‐analysis. Andrologia, 2018;50:e12851.

Turunç T, The assessment of Turkish validation with 5 question version of International Index of Erectile Function (IIEF-5). Turk J Urol. 2007;33:45- 9.

Şahin F, Beyazova U, Aktürk A. Attitudes and practices regarding circumcision in Turkey. Child Care Health Dev. 2003;29:275-80.

Waldinger M. Olivier B. Selective serotonin reuptake inhibitors (SSRIs) and sexual side effects: differences in delaying ejaculation. Advances Preclinical Clin Psychiatry. 2000. 1: p. 117-30.

Waldinger MD. The neurobiological approach to premature ejaculation. J Urol. 2002;168:2359-67.