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Circumcision Doesn't Reduce Sexual Satisfaction And Performance, Says Study Of 4,500 Men, UK
More than 98 per cent of men who are circumcised can enjoy the same levels
of sexual satisfaction and performance as men who are not, according to a
study of nearly 4,500 males published in the January issue of the UK-based
urology journal BJU International.
The randomised trial, carried out by researchers from Uganda and the USA,
was undertaken because previous studies showed that the procedure - which
is now recommended as an efficient way to reduce HIV transmission - showed
conflicting results.
"Previous studies have been problematic and shown contradictory results"
points out co-author Professor Ronald H Gray from the Bloomberg School of
Health at Johns Hopkins University, Baltimore, USA.
"Studies focusing on men circumcised in adulthood were highly selective,
because there were medical indications for surgery, circumcised infants can't
provide before and after comparisons and in most studies sample sizes were
small and follow-up was short.
"This study, carried out as part of an HIV prevention initiative, enabled us to
compare two groups of men with the same demographic profiles and levels of
sexual satisfaction and performance at the start of the study."
The research team looked at 4,456 sexually experienced Ugandan men aged
from 15 to 49 who did not have the HIV virus. 2,210 were randomised to
receive circumcision and 2,246 had their circumcision delayed for 24 months.
They followed up both sets of men at six, 12 and 24 months and then
compared the information on sexual desire, satisfaction and sexual
performance for the circumcised men and the control group.
Their research showed that:
- 98.6 per cent of the circumcised men reported no problems in
penetration, compared with 99.4 per cent of the control group.
- 99.4 per cent of the circumcised men reported no pain on intercourse,
compared with 98.8 per cent of the control group.
- Sexual satisfaction was more or less constant in the circumcision group
- 98.5 per cent on enrolment and 98.4 per cent after two years - but
rose slightly from 98 per cent to 99.9 per cent in the control group. This
difference was not felt to be clinically significant.
- At the six-month visit there was a small, but statistically significant,
difference in problems with penetration and pain among the
circumcised group, but this was temporary and was not reported at
subsequent follow-up visits.
There was considerable consistency between the men in each group when it
came to age, religion, marital status, education and number of sexual partners
in the last year. The majority of the men were Catholic, married, had one
sexual partner and were educated to primary school level.
"Our study clearly shows that being circumcised did not have an adverse
effect on the men who underwent the procedure when we compared them
with the men who had not yet received surgery" concludes Professor Gray.
"Other studies have already shown that being able to reassure men that the
procedure won't affect sexual satisfaction or performance makes them much
more likely to be circumcised."
"BJU International was very keen to publish this large-scale study as there
has been a lot of conflicting evidence about the effects of circumcision" says
the journal's Editor, Professor John Fitzpatrick from University College Dublin,
Ireland.
"We believe that these findings are very important as they can be used to
support public health messages that promote circumcision as an effective way
of reducing HIV transmission."
Notes:
- The effect of male circumcision on sexual satisfaction and function, results
from a randomized trial of male circumcision for human immunodeficiency
virus prevention. Rakai, Uganda. Kigozi et al. BJU International. Volume
101, pp 65-70. January 2008.
- Established in 1929, BJU International is published 12 times a year by
Wiley-Blackwell and edited by Professor John Fitzpatrick from University
College Dublin, Ireland. It provides its international readership with invaluable
practical information on all aspects of urology, including original and
investigative articles and illustrated surgery.
http://www.blackwellpublishing.com/BJU
- About Wiley-Blackwell
Wiley-Blackwell was formed in February 2007 as a
result of the acquisition of Blackwell Publishing Ltd. by John Wiley & Sons,
Inc., and its merger with Wiley's Scientific, Technical, and Medical business.
Together, the companies have created a global publishing business with deep
strength in every major academic and professional field. Wiley-Blackwell
publishes approximately 1,400 scholarly peer-reviewed journals and an
extensive collection of books with global appeal. For more information on
Wiley-Blackwell, please visit http://www.blackwellpublishing.com or
http://interscience.wiley.com.
Circumcizia nu reduce sexuale satisfacþie ºi de performanþã, a declarat Studiul 4500 Men, Marea Britanie - Circumcision Doesn't Reduce Sexual Satisfaction And Performance, Says Study Of 4,500 Men, UK - articole medicale engleza - startsanatate