Infant circumcision and adult penile sensitivity: implications for sexual experience

Earp, Brian D.

doi:10.1002/tre.531

Cited by 22 publications

(10 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a different journal, Earp criticized the Bossio study for providing objective assessments while ignoring subjective sexual experience and satisfaction, as well as psychological and contextual mediators. 69 Just as Van Howe et al, 67 Earp noted that the oldest subject was aged 37 years, whereas sexual dysfunction increases in older ages. He also objected to Bossio et al having excluding men with sexual dysfunction.…”

Section: Penile Sensitivity In High- and Moderate-quality Studiesmentioning

confidence: 96%

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

Morris

Krieger

2020

Sexual Medicine

View full text Add to dashboard Cite

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.

show abstract

Section: Penile Sensitivity In High- and Moderate-quality Studiesmentioning

confidence: 96%

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

Morris

Krieger

2020

Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…Although the causal implications of this research has been questioned ( Morris et al., 2012 ; Morris and Wiswell, 2015 ), these studies suggest that early-circumcision might have an impact on adult psychosocial functioning. It has been extensively debated whether circumcision affects sexual outcome variables, including sensation and satisfaction (e.g., Bossio et al., 2014 ; Boyle, 2015 ; Earp, 2016 ; Morris and Krieger, 2015 ), with research in this area often conflating studies of newborn versus adult circumcision. It is also contentious whether early-circumcised males experience long-term alterations within the limbic-hypothalamic-pituitary-adrenocortical (LHPA) system; and whether potential stress in this regard is connected to developmental factors.…”

Section: Introductionmentioning

confidence: 99%

Neonatal male circumcision is associated with altered adult socio-affective processing

Miani

Bernardo

Højgaard

et al. 2020

Heliyon

Self Cite

View full text Add to dashboard Cite

Background Neonatal male circumcision is a painful skin-breaking procedure that may affect infant physiological and behavioral stress responses as well as mother-infant interaction. Due to the plasticity of the developing nociceptive system, neonatal pain might carry long-term consequences on adult behavior. In this study, we examined whether infant male circumcision is associated with long-term psychological effects on adult socio-affective processing. Methods We recruited 408 men circumcised within the first month of life and 211 non-circumcised men and measured socio-affective behaviors and stress via a battery of validated psychometric scales. Results Early-circumcised men reported lower attachment security and lower emotional stability while no differences in empathy or trust were found. Early circumcision was also associated with stronger sexual drive and less restricted socio-sexuality along with higher perceived stress and sensation seeking. Limitations This is a cross-sectional study relying on self-reported measures from a US population. Conclusions Our findings resonate with the existing literature suggesting links between altered emotional processing in circumcised men and neonatal stress. Consistent with longitudinal studies on infant attachment, early circumcision might have an impact on adult socio-affective traits or behavior.

show abstract

“…Studies have additionally explored the potential complications of adult male and female sexuality and have reported difficulty in achieving orgasm in men (Dias et al, 2014) and women and dyspareunia in female partners of circumcised males (Frisch, Lindholm, & Gronbaek, 2011). Earp (2016) discusses the role of the foreskin in adult male sexual sensation, describing a tissue highly concentrated in nerve endings.…”

Section: Introductionmentioning

confidence: 99%

Self‐care promotion of the intact (non‐circumcised) patient: A review of available recommendations

Wodwaski

Munyan

2020

Specialist Pediatric Nursing

View full text Add to dashboard Cite

Purpose: With routine infant circumcision rates declining in the United States, nurses are likely to encounter more intact (non-circumcised) male patients requiring genital hygiene, nursing interventions, and education accessing the health system. To date, a little emphasis has been placed on the care of the intact male patient in the nursing literature, resulting in ambiguity in care recommendations. The vagueness is problematic, as improper intact care, particularly in the pediatric patient, can result in forced retraction injuries, bleeding, scarring, and unnecessary intervention. In addition, with nurses conducting many of the tasks of hygiene and education for self-care, there is potential for impaired patient self-care and harm if nurses are not knowledgeable in intact care. Utilizing Orem's self-care theory as a framework, the aim of this effort is to perform a review of current recommendations on intact care to inform nursing practice with this population. As no evidence was found in the scientific literature, readily available consumer website resources were reviewed. Conclusion: Themes of hygiene and age of retraction emerged. While recommendations for hygiene practices were variable, all review sources (n = 12) were clear in advising against the premature retraction of the intact foreskin and identified this as a route for injury. Practice Implications: With no current literature available to summarize current nursing clinical or educational practices, dissemination of these recommendations is necessary to prevent patient injury and promote appropriate patient self-care. K E Y W O R D S forced retraction, intact care, Orem's theory of self-care, uncircumcised How to cite this article: Wodwaski N, Munyan K. Self-care promotion of the intact (non-circumcised) patient: A review of available recommendations.

show abstract

Infant circumcision and adult penile sensitivity: implications for sexual experience

Cited by 22 publications

References 21 publications

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

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

Neonatal male circumcision is associated with altered adult socio-affective processing

Self‐care promotion of the intact (non‐circumcised) patient: A review of available recommendations

Contact Info

Product

Resources

About