Senol Mehmet Güney, Sen Bülent, Karademir Kenan, Sen Hüseyin, Saraçoğlu Mehmet
Department of Neurology, Gülhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Turkey.
Acta Neurol Belg. 2008 Sep;108(3):90-3.
Circumcision is generally considered a simple, rapid operation with medical benefits which accrue throughout life. The influence of circumcision on sexual satisfaction has always been argued. In this study, the assessment of the pudendal evoked potentials (PEP) in adults before and at least 12 weeks after circumcision was done. Healthy males aged between 18-27 years, who were willing to undergo circumcision were included in the study. Before and after circumcision, sexual performance was evaluated with the Brief Male Sexual Function Inventory (BMSFI), consisting of sexual drive, erection, ejaculation, problem assessment, and overall satisfaction sections. Forty-three adult males were enrolled in the study. Mean PEP latency was 41.97 +/- 0.25 (39.90-44.50) ms and 44.73 +/- 0.33 (40.90-47.60) ms before and after circumcision, respectively. Mean difference between pre- and postoperative PEP values was 2.76 ms which was statistically significant (p < 0.001). Mean ejaculatory latency time was significantly longer after circumcision (p < 0.001). In the light of our findings, we conclude that circumcision may contribute to sexual satisfaction by prolonging PEP latency but further studies are warranted also regarding the other dimensions of circumcision.
包皮环切术通常被认为是一种简单、快速的手术，具有终身的医学益处。包皮环切术对性满意度的影响一直存在争议。在本研究中，对成年人在包皮环切术前及术后至少12周进行了阴部诱发电位（PEP）评估。年龄在18 - 27岁之间、愿意接受包皮环切术的健康男性被纳入研究。在包皮环切术前和术后，使用简短男性性功能量表（BMSFI）对性功能进行评估，该量表包括性欲、勃起、射精、问题评估和总体满意度部分。43名成年男性参与了该研究。包皮环切术前和术后的平均PEP潜伏期分别为41.97 +/- 0.25（39.90 - 44.50）毫秒和44.73 +/- 0.33（4,0.90 - 47.60）毫秒。术前和术后PEP值的平均差异为2.76毫秒，具有统计学意义（p < 0.001）。包皮环切术后平均射精潜伏期明显延长（p < 0.001）。根据我们的研究结果，我们得出结论，包皮环切术可能通过延长PEP潜伏期来提高性满意度，但关于包皮环切术的其他方面也需要进一步研究。
