The effects of the age of male early life circumcision on sexual functions later in life. (13th April 2021)

• Record Type: Journal Article
• Authors: Esen, E.C.; Özer, S.; Yıldırım, Ö.; Hasırcı, E.; Şah, C.; Şahin, B.; Duran, B.; Çınar, Ö.; Cihan, A.; Kazaz, İ.; Gül, Ü.; Deliktaş, H.; Kızılkan, Y.; Altınkol, A.; Kurt, H.; Tosun, Ç.; Güdeloğlu, A.; Üre, İ.; Tutuş, A.; Alkış, O.; Bozkurt, O.; Turunç, T.; Akkuş, K.
• Is Part Of: European psychiatry. Volume 64:Supplement 1(2021)
• Page Start: S546
• Page End: S547
• Publication Date: 2021-04-13
• Subjects: Circumcision -- Premature Ejaculation -- Sexual Dysfunction; Psychiatry -- Periodicals; Mental illness -- Periodicals; Electronic journals; 616.89
• DOI: 10.1192/j.eurpsy.2021.1456
• Languages: English
• ISSNs: 0924-9338

Abstract

Abstract : Introduction: According to psychoanalytic theory performing circumcision on a boy in phallic phase may aggravate this fear and cause sexual dysfunctions later in life. However this hypothesis is an unverified common-view rather than a scientifically proven conclusion. Objectives: We hypothesized that being circumcised during phallic phase is not a risk factor for sexual dysfunction. We also took a peak at how the experience of circumcision is being perceived and its psychological effects. Our secondary hypothesis was, sexual dysfunctions are more frequent among men who had a traumatic circumcision experience. Methods: For this cross-sectional study, a total of 2768 sexually active, circumcised and voluntary men were recruited from 20 different urology outpatient clinics around Turkey. Results: There was no significant difference for PEDT and IIEF scores between participants who were circumcised at different ages (Graph-1, 2). When participants were divided into 3 groups according to their circumcision age in accordance with psychoanalytic theory (before, after and during phallic phase) mean IIEF and PEDT scores did not differ. PEDT scores did not differ either by which emotion the participant describe their experience of circumcision or how vividly he remembered it. However participants who remembered their circumcision experience more vividly and had who describe their circumcision experience with fear/anxiety had a higher IIEF score (Graph-3). Conclusions: The age of circumcision does not affect the risk of PE. This is one of the very few studies that challenges psychoanalytic theory with a scientific method. Remembering the circumcision experience with fear or anxiety did not increase the risk of sexual dysfunctions.