Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life

Introduction: Male circumcision is recognized as the most effective method of phimosis treatment. Analyzing the literature, the information about the influence of male circumcision due to phimosis for patients' subjective symptoms such as itching, burning, penile pain, pain during intercourse,...

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Main Authors: Mateusz Czajkowski, MD, Katarzyna Czajkowska, MD, Karolina Zarańska, MD, Alicja Giemza, MD, Jakub Kłącz, PhD, Małgorzata Sokołowska-Wojdyło, Marcin Matuszewski
Format: Article
Language:English
Published: Oxford University Press 2021-04-01
Series:Sexual Medicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2050116120302038
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author Mateusz Czajkowski, MD
Katarzyna Czajkowska, MD
Karolina Zarańska, MD
Alicja Giemza, MD
Jakub Kłącz, PhD
Małgorzata Sokołowska-Wojdyło
Marcin Matuszewski
author_facet Mateusz Czajkowski, MD
Katarzyna Czajkowska, MD
Karolina Zarańska, MD
Alicja Giemza, MD
Jakub Kłącz, PhD
Małgorzata Sokołowska-Wojdyło
Marcin Matuszewski
author_sort Mateusz Czajkowski, MD
collection DOAJ
description Introduction: Male circumcision is recognized as the most effective method of phimosis treatment. Analyzing the literature, the information about the influence of male circumcision due to phimosis for patients' subjective symptoms such as itching, burning, penile pain, pain during intercourse, and quality of sexual life is insufficient. Aim: To investigate the effect of male circumcision due to phimosis to patients' subjective symptoms, including erectile function and satisfaction with their genitals. Methods: The single-center prospective study began in January 2018 and ended in January 2020. Sixty-nine male, adult patients, who were qualified for circumcision due to phimosis, were included in the study. Main Outcomes Measures: The study outcomes were obtained using questionnaires such as visual analog scale 0-10 for itching, burning, penile pain, and penile pain during intercourse; International Index of Erectile Function (IIEF-5) and Male Genital Self Image Scale 7 (MGSIS-7) to assess the changes in patients sexual functioning. Results: Before the circumcision of the 69 patients included in the study, 59 patients (86%) reported some subjective symptoms of phimosis. The most frequent and most severe complaint was pain during intercourse, then itching and burning of the penis. Penile pain at rest was the least frequent. After 3 months from circumcision, subjective symptoms almost completely disappeared. All of 69 patients declared to have a sexual partner. 3 months after circumcision, all patients achieved significant improvement in both obtaining and maintaining an erection based on IIEF-5 score. Their sexual intercourse was more satisfying for them.All patients suffering from phimosis were embarrassed about their genitals before surgery. 3 months after circumcision, satisfaction with genital self-image increased significantly. Conclusion: Male circumcision due to phimosis is not only relieving the clinical symptoms of phimosis, but it also improves the quality of sexual life.Czajkowski M, Czajkowska K, Zarańska K, et al. Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life. Sex Med 2021;9:100315.
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spelling doaj.art-c004631c8eb640d7939a6e0e979affd32023-09-03T03:01:49ZengOxford University PressSexual Medicine2050-11612021-04-0192100315Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual LifeMateusz Czajkowski, MD0Katarzyna Czajkowska, MD1Karolina Zarańska, MD2Alicja Giemza, MD3Jakub Kłącz, PhD4Małgorzata Sokołowska-Wojdyło5Marcin Matuszewski6Department of Urology, Medical University of Gdańsk, Gdańsk, Poland; Corresponding Author: Mateusz Czajkowski, Department of Urology, Medical University of Gdańsk, Mariana Smoluchowskiego 17 street, Gdańsk 80-214, Poland. Tel: 0048 667932459; Fax: 58 349 31 70Department of Dermatology, Venerology and Allergology, Medical University of Gdańsk, Gdańsk, PolandStudent Research Group at the Department of Urology, Medical University of Gdańsk, Gdańsk, PolandStudent Research Group at the Department of Urology, Medical University of Gdańsk, Gdańsk, PolandDepartment of Urology, Medical University of Gdańsk, Gdańsk, PolandDepartment of Dermatology, Venerology and Allergology, Medical University of Gdańsk, Gdańsk, PolandDepartment of Urology, Medical University of Gdańsk, Gdańsk, PolandIntroduction: Male circumcision is recognized as the most effective method of phimosis treatment. Analyzing the literature, the information about the influence of male circumcision due to phimosis for patients' subjective symptoms such as itching, burning, penile pain, pain during intercourse, and quality of sexual life is insufficient. Aim: To investigate the effect of male circumcision due to phimosis to patients' subjective symptoms, including erectile function and satisfaction with their genitals. Methods: The single-center prospective study began in January 2018 and ended in January 2020. Sixty-nine male, adult patients, who were qualified for circumcision due to phimosis, were included in the study. Main Outcomes Measures: The study outcomes were obtained using questionnaires such as visual analog scale 0-10 for itching, burning, penile pain, and penile pain during intercourse; International Index of Erectile Function (IIEF-5) and Male Genital Self Image Scale 7 (MGSIS-7) to assess the changes in patients sexual functioning. Results: Before the circumcision of the 69 patients included in the study, 59 patients (86%) reported some subjective symptoms of phimosis. The most frequent and most severe complaint was pain during intercourse, then itching and burning of the penis. Penile pain at rest was the least frequent. After 3 months from circumcision, subjective symptoms almost completely disappeared. All of 69 patients declared to have a sexual partner. 3 months after circumcision, all patients achieved significant improvement in both obtaining and maintaining an erection based on IIEF-5 score. Their sexual intercourse was more satisfying for them.All patients suffering from phimosis were embarrassed about their genitals before surgery. 3 months after circumcision, satisfaction with genital self-image increased significantly. Conclusion: Male circumcision due to phimosis is not only relieving the clinical symptoms of phimosis, but it also improves the quality of sexual life.Czajkowski M, Czajkowska K, Zarańska K, et al. Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life. Sex Med 2021;9:100315.http://www.sciencedirect.com/science/article/pii/S2050116120302038Male CircumcisionPhimosisErectile DysfunctionSexual Activity
spellingShingle Mateusz Czajkowski, MD
Katarzyna Czajkowska, MD
Karolina Zarańska, MD
Alicja Giemza, MD
Jakub Kłącz, PhD
Małgorzata Sokołowska-Wojdyło
Marcin Matuszewski
Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life
Sexual Medicine
Male Circumcision
Phimosis
Erectile Dysfunction
Sexual Activity
title Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life
title_full Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life
title_fullStr Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life
title_full_unstemmed Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life
title_short Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life
title_sort male circumcision due to phimosis as the procedure that is not only relieving clinical symptoms of phimosis but also improves the quality of sexual life
topic Male Circumcision
Phimosis
Erectile Dysfunction
Sexual Activity
url http://www.sciencedirect.com/science/article/pii/S2050116120302038
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