Kinderurologie, Charite Universitätsmedizin Berlin, CVK Augustenburger Pl. 1, 13353, Berlin, Germany.
London school of hygiene and tropical medicine Keppel St, Bloomsbury, London, WC1E 7HT, UK.
Int J Impot Res. 2021 Mar;33(2):139-148. doi: 10.1038/s41443-020-00354-y. Epub 2020 Sep 29.
Male circumcision (MC) is the first planned surgical procedure ever performed. Nowadays many of these procedures are not necessarily carried out in a medical environment, therefore the real number remains unknown but it is estimated that one third of the men are circumcised. Some authors argue the negative impact of MC on men psychology and sexual life, but objective data are lacking. The purpose of this review is to summarize in the best possible way the literature to clarify this matter. A non-systematic narrative review was performed including articles between 1986 and 2019. The search for literature was carried out between July 2019 to October 2019 and any updates as of March 30, 2020. Although many authors support the hypothesis that circumcision status has an impact on sexual functioning, a negative outcome has not yet been entirely proven. Circumcision might affect how men perceive their body image, and consequently affect their sexual life. We should consider this when analysing the literature about MC and sexual dysfunction, as many of the results are based on specific populations with different attitudes towards this procedure. Sexual function consists of many elements that not only relate to measurable facts such as anatomy, somatosensory and histology. An objective evaluation of the impact of circumcision on sexuality is still challenging, as it affects a wide variety of people that confront sexuality differently due to their sociocultural and historical background. Therefore, individuals can either perceive their circumcision status as a blessing or a curse depending on the values and preferences of the different communities or social environments where they belong.
男性割礼（MC）是有史以来进行的第一次有计划的外科手术。如今，许多这些程序不一定在医疗环境中进行，因此实际数量未知，但据估计，三分之一的男性接受了割礼。一些作者认为 MC 对男性心理和性生活有负面影响，但缺乏客观数据。本综述的目的是尽可能全面地总结文献，以澄清这一问题。进行了非系统性叙述性综述，纳入了 1986 年至 2019 年的文章。文献检索于 2019 年 7 月至 2019 年 10 月进行，并于 2020 年 3 月 30 日进行了任何更新。尽管许多作者支持割礼状况对性功能有影响的假设，但尚未完全证明负面结果。割礼可能会影响男性对自己身体形象的看法，从而影响他们的性生活。在分析有关 MC 和性功能障碍的文献时，我们应该考虑到这一点，因为许多结果都是基于对这一程序持有不同态度的特定人群得出的。性功能由许多元素组成，不仅与解剖学、躯体感觉和组织学等可衡量的事实有关。割礼对性行为的影响仍然具有挑战性，因为它会影响到由于其社会文化和历史背景而以不同方式面对性行为的各种各样的人。因此，个体可以根据他们所属的不同社区或社会环境的价值观和偏好，将他们的割礼状况视为祝福或诅咒。
