The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation

Objective: To 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 methods: Men were considered to have an ex...

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Autor principal:	Luigi Gallo
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Circumcision Excessive prepuce Penile hypersensitivity Premature ejaculation Risk factor Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/084ec85327384ae5bb1ef07c553a8a1e
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spelling	oai:doaj.org-article:084ec85327384ae5bb1ef07c553a8a1e2021-12-02T09:51:22ZThe prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation2090-598X10.1016/j.aju.2017.02.002https://doaj.org/article/084ec85327384ae5bb1ef07c553a8a1e2017-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300359https://doaj.org/toc/2090-598XObjective: To 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 methods: Men 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. Results: Lifelong 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 (P < 0.001) and the mean (SD) PEDT score decreased from 17 (2) to 6.6 (1.9) (P < 0.001). Overall, 26 of the 27 (96%) patients that had a circumcision reported an IELT increase. Conclusions: An 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.Luigi GalloTaylor & Francis GrouparticleCircumcisionExcessive prepucePenile hypersensitivityPremature ejaculationRisk factorDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 2, Pp 140-147 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Circumcision Excessive prepuce Penile hypersensitivity Premature ejaculation Risk factor Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Circumcision Excessive prepuce Penile hypersensitivity Premature ejaculation Risk factor Diseases of the genitourinary system. Urology RC870-923 Luigi Gallo The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation
description	Objective: To 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 methods: Men 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. Results: Lifelong 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 (P < 0.001) and the mean (SD) PEDT score decreased from 17 (2) to 6.6 (1.9) (P < 0.001). Overall, 26 of the 27 (96%) patients that had a circumcision reported an IELT increase. Conclusions: An 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.
format	article
author	Luigi Gallo
author_facet	Luigi Gallo
author_sort	Luigi Gallo
title	The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation
title_short	The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation
title_full	The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation
title_fullStr	The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation
title_full_unstemmed	The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation
title_sort	prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/084ec85327384ae5bb1ef07c553a8a1e
work_keys_str_mv	AT luigigallo theprevalenceofanexcessiveprepuceandtheeffectsofdistalcircumcisiononprematureejaculation AT luigigallo prevalenceofanexcessiveprepuceandtheeffectsofdistalcircumcisiononprematureejaculation
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The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation

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