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. 2011 May;3(2):87-92.
doi: 10.4103/0974-7796.82175.

Removal of foreskin remnants in circumcised adults for treatment of premature ejaculation

Mohammad Reza Namavar  1 , Boroomand Robati
Affiliations

Removal of foreskin remnants in circumcised adults for treatment of premature ejaculation

Mohammad Reza Namavar et al. Urol Ann. 2011 May.

Abstract

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 64.25 before surgery to 731.49 sec after surgery (P<0.001). The percentage of postoperative satisfaction in both the patient and his partner significantly increased (P<0.001). After surgery, 95.7% of men had better control over their ejaculation. This surgery significantly decreased sensitivity of penis (P<0.001), but it did not change glans penis insensitivity.

Conclusions: These results indicate that removal of foreskin remnants in adults is an effective modality in selective patients of PE.

Keywords: Circumcision; foreskin; premature ejaculation; prepuce.

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
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
Figure 2
Figure 2
Superior (left) and inferior (right) aspects of patient's penis before (a1, b1) and after (a2, b2) removal of foreskin remnants
See this image and copyright information in PMC

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