ArticleArab journal of urology2017
The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation.
Article in Arab journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 11 citations in OpenAlex.
- Is it time for a time-out? Progress versus politics in studying the psychosexual implications of penile circumcision.International journal of impotence research · 2023Article
- Immunohistological study of the density and distribution of human penile neural tissue: gradient hypothesis.International journal of impotence research · 2023Article
- Glans penis augmentation using hyaluronic acid for the treatment of premature ejaculation: a narrative review.Translational andrology and urology · 2020Review
- The effect of post-circumcision mucosal cuff length on premature ejaculation.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the prevalence of an excessive prepuce in patients with premature ejaculation (PE) and to evaluate the effectiveness of distal circumcision in reducing the penile hypersensitivity, which is thought to be a cause of PE. PATIENTS AND
methodsMen were considered to have an excessive prepuce if the foreskin exceeded the external urethral meatus by ≥1 cm in the flaccid state. The diagnosis of PE was based on the Premature Ejaculation Diagnostic Tool (PEDT) questionnaire score and on the intravaginal ejaculatory latency time (IELT). These features were evaluated at baseline and at 6 months after circumcision.
resultsLifelong PE was diagnosed in 352 patients of whom 208 (59.1%) had an excessive prepuce. We offered those with an excessive prepuce a circumcision, as a potential definitive treatment for their PE, and 27 (13%) men accepted. At 6 months after circumcision, there was an increase in the mean (SD) IELT from 40.4 (16.5) to 254 (66.8) s (
conclusionsAn excessive prepuce is very common in patients affected by PE. Although accepted by only 13% of our patients, distal circumcision was shown to be a very effective surgical treatment for definitive treatment of PE. We therefore recommend assessing patients complaining of lifelong PE for an excessive prepuce and if they have an excessive prepuce to suggest that they undergo distal circumcision.
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