Adult penile circumcision: Erotosexual and cosmetic sequelae

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Five men underwent circumcision in adulthood for reasons of infection, inflammation, or phimosis. Several years later, they reported on the erotosexual sequelae. All reported a prolongation of the period prior to ejaculation, though none had been genuine premature ejaculators. Other variable sequelae were diminished penile sensitivity, less penile gratification, more penile pain, and cosmetic deformity. Orgasm frequency was the same or less, and there was no postsurgical impotence. Loss of stretch receptors and reflexes might explain the major erotosexual changes. In most instances, a dorsal cut and/or antibiotic treatment achieves the same effect as circumcision, and is less risky in terms of possible pathological sequelae.