Role of postcircumcision mucosal cuff length in lifelong premature ejaculation: a pilot study.
BACKGROUND
Premature ejaculation (PE) is the most prevalent sexual dysfunction among men. Several theories about its etiology have been made. One of the conflicting factors is the effect of circumcision on ejaculation, and there are some concerns about leaving so much mucosa during circumcision.


OBJECTIVE
In our study the relationship between mucosal cuff length and PE was investigated.


METHODS
Eighty-four circumcised men were studied, including 42 men with PE and 42 men without. The following data and measurements were investigated: age, education, smoking, intravaginal ejaculation latency time (IELT), circumcision timing, stretched penile, penile skin, and mucosal cuff lengths.


METHODS
Penile, mucosal cuff, and penile skin lengths, the IELT.


RESULTS
The mean penile, mucosal cuff, and penile skin lengths were 121.1 +/- 12.8, 15.4 +/- 4.8, and 80.8 +/- 21.0 mm in PE men, respectively, and were 130.1 +/- 10.4, 14.7 +/- 3.4, and 88.7 +/- 12.2 mm in the control group, respectively. No statistically significant differences were seen regarding the length of the penis (P = 0.80), mucosal cuff (P = 0.84), and penile skin (P = 0.99). The two groups were not different regarding education (P = 0.90), smoking (P = 0.70), and circumcision timing (P = 0.65).


CONCLUSIONS
Postcircumcision mucosal cuff length is not a risk factor for PE.
Hosseini
Seyed Reza
SR
Tehran University of Medical Sciences-Department of Urology, Tehran, Iran. rhosseinim@yahoo.com
Khazaeli
Mahziar H
MH
Atharikia
Davood
D
D000328:Adult; D002944:Circumcision, Male / Q000009:adverse effects*; D004542:Ejaculation / Q000502:physiology*; D007172:Erectile Dysfunction / Q000209:etiology*; D052816:Foreskin / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010410:Penile Erection / Q000502:physiology*; D010865:Pilot Projects; D013997:Time Factors