title: Psychological and sexual effects of circumcision in adult males.
abstract: BACKGROUND
  Our aim was to investigate the psychological and sexual effects of circumcision in adult men, and analyze these changes following circumcision.
  
  
  METHODS
  We included 37 adults who applied to our clinic for circumcision and who did not have any psychiatric or urologic disorders and age-matched 30 controls in our study. Body Cathexis Scale (BCS), Liebowitz Social Anxiety Scale (LSAS), and Premature Ejaculation Diagnostic Tool (PEDT) were applied to the study group twice, once before and once three months after circumcision, and only once in the control group. Also, intravaginal ejaculation latency time (IELT) was noted and premature ejaculation (PE) evaluation was done. Intra- and intergroup comparisons were performed.
  
  
  RESULTS
  The two groups were similar with regard to demographic data. Comparison of preoperative BCS and LSAS scores with the scores of the control group showed significant differences (p=0.003, p<0.001, and p<0.001, respectively). However, postoperative scores were similar to the scores obtained in the control group (p=0.768, p>0.05, and p>0.05, respectively). Scores of all scales showed significant improvements postoperatively. Also, PEDT scores and IELT changes before and after circumcision were significant in the study group, but not when compared to the control group.
  
  
  CONCLUSIONS
  Our results indicated that social anxiety and anxiety levels decreased after circumcision in adult Turkish men, and their body gratification increased. We found that not being circumcised might negatively affect individuals in adulthood when it comes to body image and sexual satisfaction, however, both improve after circumcision.
authors: Department of Urology, Etimesgut Military Hospital, Ankara, Turkey.
authors: Yasin
authors: Y
authors: Aydogmus
authors: Department of Psychiatry, Gulhane Military Medical Academy, Ankara, Turkey.
authors: Murat
authors: M
authors: Semiz
authors: Department of Psychiatry, Etimesgut Military Hospital, Ankara, Turkey.
authors: Okan
authors: O
authors: Er
authors: Department of Urology, Abdurrahman Yurtaslan Oncology Education and Research Hospital, Ankara, Turkey.
authors: Okan
authors: O
authors: Bas
authors: Department of Urology, Health Centre of Airforce Military Academy, Istanbul, Turkey.
authors: Irfan
authors: I
authors: Atay
authors: Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey.
authors: Muhammet Fatih
authors: MF
authors: Kilinc