Effects of adult male circumcision on premature ejaculation: results from a prospective study in China

Gao J¹, Xu C¹, Zhang J², Liang C¹, Su P³, Peng Z⁴, Shi K¹, Tang D¹, Gao P¹, Lu Z⁵, Liu J⁶, Xia L⁷, Yang J¹, Hao Z¹, Zhou J¹, Zhang X¹.

• ¹Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, China.
• ²Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, China.
• ³Academy of Public Health, The Anhui Medical University, Hefei, Anhui 230032, China.
• ⁴Academy of Public Health, The Xiangya School of Medicine, The Central South University, Changsha, Hunan 410000, China.
• ⁵Department of Urology, The Chaohu Affiliated Hospital of Anhui Medical University, Chaohu, Anhui 238000, China.
• ⁶Department of Urology, The Anqing Affiliated Hospital of Anhui Medical University, Anqing, Anhui 246000, China.
• ⁷Department of Urology, The Huaibei Affiliated Hospital of Anhui Medical University, Huaibei, Anhui 235000, China.

Biomed Res Int. 2015;2015:417846. doi: 10.1155/2015/417846. Epub 2015 Jan 28.

Abstract below; full text is at http://www.hindawi.com/journals/bmri/2015/417846/

The purpose of this study is to investigate the effects of adult male circumcision on premature ejaculation (PE). Therefore, between December 2009 and March 2014, a total of 575 circumcised men and 623 uncircumcised men (control group) were evaluated. Detailed evaluations (including circumcision and control groups) on PE were conducted before circumcision and at the 3-, 6-, 9-, and 12-month follow-up visits after circumcision. Self-estimated intravaginal ejaculatory latency time (IELT), Patient-Reported Outcome measures, and 5-item version of the International Index of Erectile Function were used to measure the ejaculatory and erectile function for all subjects. The results showed that, during the one-year follow-up, men after circumcision experienced higher IELT and better scores of control over ejaculation, satisfaction with sexual intercourse, and severity of PE than men before circumcision (P < 0.001 for all). Similarly, when compared with the control group, the circumcised men reported significantly improved IELT, control over ejaculation, and satisfaction with sexual intercourse (P < 0.001 for all). These findings suggested that circumcision might have positive effects on IELT, ejaculatory control, sexual satisfaction, and PE severity. In addition, circumcision was significantly associated with the development of PE.

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