Does Male Circumcision Adversely Affect Sexual Sensation, Function, or Satisfaction? Critical Comment on Morris and Krieger (2013)

Abstract

Morris and Krieger (2013) have argued that male circumcision does not impact adversely on sexual sensation, satisfaction, and/or function. In the present paper, it is argued that such a view is untenable. By selectively citing Morris’ own non-peer-reviewed letters and opinion pieces purporting to show flaws in studies reporting evidence of negative effects of circumcision, and by failing adequately to account for replies to these letters by the authors of the original research (and others), Morris and Krieger give an incomplete and misleading account of the available literature. Consequently, Morris and Krieger reach an implausible conclusion that is inconsistent with what is known about the anatomy and functions of the penile foreskin, and the likely effects of its surgical removal.

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Boyle, G. (2015) Does Male Circumcision Adversely Affect Sexual Sensation, Function, or Satisfaction? Critical Comment on Morris and Krieger (2013). Advances in Sexual Medicine, 5, 7-12. doi: 10.4236/asm.2015.52002.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Morris, B.J. and Krieger, J.N. (2013) Does Male Circumcision Affect Sexual Function, Sensitivity, or Satisfaction? A Systematic Review. The Journal of Sexual Medicine, 10, 2644-2657.
[2] Cold, C.J. and Taylor, J.R. (1999) The Prepuce. BJU International, 83, 34-44.
http://dx.doi.org/10.1046/j.1464-410x.1999.0830s1034.x
[3] Taylor, J.R. (2007) Fine-Touch Pressure Thresholds in the Adult Penis. BJU International, 100, 218.
http://dx.doi.org/10.1111/j.1464-410X.2007.07026_4.x
[4] Taylor, J.R. (2007) The Forgotten Foreskin and Its Ridged Band. The Journal of Sexual Medicine, 4, 1516.
http://dx.doi.org/10.1111/j.1743-6109.2007.00588.x
[5] Taylor, J.R., Lockwood, A.P. and Taylor, A.J. (1996) The Prepuce: Specialized Mucosa of the Penis and Its Loss to Circumcision. British Journal of Urology, 77, 291-295.
http://dx.doi.org/10.1046/j.1464-410X.1996.85023.x
[6] Bensley, G.A. and Boyle, G.J. (2001) Physical, Sexual, and Psychological Impact of Male Infant Circumcision: An Exploratory Survey. In: Denniston, G.C., Hodges, F.M. and Milos, M.F., Eds., Understanding Circumcision: A Multi- Disciplinary Approach to a Multi-Dimensional Problem, Kluwer Academic/Plenum, New York, 207-239.
[7] Bensley, G.A. and Boyle, G.J. (2003) Effects of Male Circumcision on Female Arousal and Orgasm. The New Zealand Medical Journal, 116, 595-596
[8] Scott, S. (1999) The Anatomy and Physiology of the Human Prepuce. In: Denniston, G.C., Hodges, F.M. and Milos, M.F., Eds., Male and Female Circumcision: Medical, Legal, and Ethical Considerations in Pediatric Practice, Kluwer Academic/Plenum, New York, 9-18.
[9] Earp, B.D. (2015) Sex and Circumcision. American Journal of Bioethics, 15, 43-45.
http://dx.doi.org/10.1080/15265161.2014.991000
[10] Bossio, J.A., Pukall, C.F. and Steele, S. (2014) A Review of the Current State of the Male Circumcision Literature. The Journal of Sexual Medicine, 11, 2847-2864.
http://dx.doi.org/10.1111/jsm.12703
[11] Boyle, G.J. and Hill, G. (2011) Sub-Saharan African Randomised Clinical Trials into Male Circumcision and HIV Transmission: Methodological, Ethical and Legal Concerns. Journal of Law and Medicine, 19, 316-334.
[12] Mulhall, J., King, R., Glina, S. and Hvidsten, K. (2008) Importance of and Satisfaction with Sex among Men and Women Worldwide: Results of the Global Better Sex Survey. The Journal of Sexual Medicine, 5, 788-795.
http://dx.doi.org/10.1111/j.1743-6109.2007.00765.x
[13] Van Howe, R.S. (2015) A CDC-Requested, Evidence-Based Critique of the Centers for Disease Control and Prevention 2014 Draft on Male Circumcision: How Ideology and Selective Science Lead to Superficial, Culturally-Biased Recommendations by the CDC.
[14] Frisch, M. (2012) Author’s Response to: Does Sexual Function Survey in Denmark Offer Any Support for Male Circumcision Having an Adverse Effect? International Journal of Epidemiology, 41, 312-314.
http://dx.doi.org/10.1093/ije/dyr181
[15] Sorrells, M.L., Snyder, J.L., Reiss, M.D., et al. (2007) Fine-Touch Pressure Thresholds in the Adult Penis. British Journal of Urology International, 99, 864-869.
[16] Waskett, J.H. and Morris, B.J. (2007) Fine-Touch Pressure Thresholds in the Adult Penis. British Journal of Urology International, 99, 1551-1552.
http://dx.doi.org/10.1111/j.1464-410X.2007.06970_6.x
[17] Young, H. (2007) Fine-Touch Pressure Thresholds in the Adult Penis. British Journal of Urology International, 100, 699.
[18] Podnar, S. (2011) Clinical Elicitation of the Penilo-Cavernosus Reflex in Circumcised Men. British Journal of Urology International, 109, 582-585.
[19] Michetti, P.M., Rossi, R., Bonanno, D., et al. (2006) Male Sexuality and Regulation of Emotions: A Study on the Association between Alexithymia and Erectile Dysfunction (ED). International Journal of Impotence Research, 18, 170- 174.
http://dx.doi.org/10.1038/sj.ijir.3901386
[20] Bollinger, D. and Van Howe, R.S. (2011) Alexithymia and Circumcision Trauma: A Preliminary Investigation. International Journal of Men’s Health, 10, 184-195.
http://dx.doi.org/10.3149/jmh.1002.184
[21] Bronselaer, G.A., Schober, J.M., Meyer-Bahlburg, H.F., T’Sjoen, G., Vlietinck, R. and Hoebeke, P.B. (2013) Male Circumcision Decreases Penile Sensitivity as Measured in a Large Cohort. British Journal of Urology International, 111, 820-827.
[22] Morris, B.J., Krieger, J.N. and Kigozi, G. (2013) Male Circumcision Decreases Penile Sensitivity as Measured in a Large Cohort. British Journal of Urology International, 111, E269-E270.
[23] Bronselaer, G. (2013) Reply. British Journal of Urology International, 111, E270-E271.
http://dx.doi.org/10.1111/bju.12128_10
[24] Dias, J., Freitas, R., Amorim, R., et al. (2014) Adult Circumcision and Male Sexual Health: A Retrospective Analysis. Andrologia, 46, 459-464.
http://dx.doi.org/10.1111/and.12101
[25] Wespes, E., Eardley, I., Giuliano, F., et al. (2013) Guidelines on Male Sexual Dysfunction: Erectile Dysfunction and Premature Ejaculation. European Association of Urology, EAU.
http://www.guideline.gov/content.aspx?id=45322
[26] Tang, W.S. and Khoo, E.M. (2011) Prevalence and Correlates of Premature Ejaculation in a Primary Care Setting: A Preliminary Cross-Sectional Study. The Journal of Sexual Medicine, 8, 2071-2078.
http://dx.doi.org/10.1111/j.1743-6109.2011.02280.x
[27] Laumann, E.O., Masi, C.M. and Zuckerman, E.W. (1997) Circumcision in the United States: Prevalence, Prophylactic Effects, and Sexual Practice. The Journal of the American Medical Association, 277, 1052-1057.
http://dx.doi.org/10.1001/jama.1997.03540370042034
[28] Masood, S., Patel, H.R.H., Himpson, R.C., et al. (2005) Penile Sensitivity and Sexual Satisfaction after Circumcision: Are We Informing Men Correctly? Urologia Internationalis, 75, 62-66.
http://dx.doi.org/10.1159/000085930
[29] Richters, J., Smith, A.M.A., de Visser, R.O., et al. (2006) Circumcision in Australia: Prevalence and Effects on Sexual Health. International Journal of STD AIDS, 17, 547-554.
http://dx.doi.org/10.1258/095646206778145730
[30] Ferris, J.A., Richters, J., Pitts, M.K., et al. (2010) Circumcision in Australia: Further Evidence on Its Effect on Sexual Health and Wellbeing. Australian and New Zealand Journal of Public Health, 34, 160-164.
[31] Son, H., Song, S.H., Kim, S.W. and Paick, J.S. (2010) Self-Reported Premature Ejaculation Prevalence and Characteristics in Korean Young Males: Community-Based Data from an Internet Survey. Journal of Andrology, 31, 540-546.
http://dx.doi.org/10.2164/jandrol.110.010355
[32] Frisch, M., Lindholm, M. and Gronbak, M. (2011) Male Circumcision and Sexual Function in Men and Women: A Survey-Based, Cross-Sectional Study in Denmark. International Journal of Epidemiology, 40, 1367-1381.
http://dx.doi.org/10.1093/ije/dyr104
[33] Shaeer, O. (2013) The Global Online Sexuality Survey (GOSS): The United States of America in 2011 Chapter III—Premature Ejaculation among English-Speaking Male Internet Users. The Journal of Sexual Medicine, 10, 1882- 1888.
http://dx.doi.org/10.1111/jsm.12187
[34] Krieger, J.N., Mehta, S.D., Bailey, R.C., et al. (2008) Adult Male Circumcision: Effects on Sexual Function and Sexual Satisfaction in Kisumu, Kenya. The Journal of Sexual Medicine, 5, 2610-2622.
http://dx.doi.org/10.1111/j.1743-6109.2008.00979.x
[35] Frisch, M., Lindholm, M. and Gronbak, M. (2011) Male Circumcision and Sexual Function in Men and Women: A Survey-Based, Cross-Sectional Study in Denmark. International Journal of Epidemiology, 40, 1367-1381.
http://dx.doi.org/10.1093/ije/dyr104
[36] Van Howe, R.S. (2014) Meta-Analysis of 10 Studies Comparing Premature Ejaculation Prevalence in Genitally Intact versus Circumcised Men. Personal Communication, 5 July 2014, in Preparation.
[37] Boyle, G.J. (2012) Clinical Elicitation of the Penilo-Cavernosus Reflex in Circumcised Men. British Journal of Urology International, 110, E150.
[38] O’Hara, K. and O’Hara, J. (1999) The Effect of Male Circumcision on the Sexual Enjoyment of the Female Partner. British Journal of Urology International, 83, 79-84.
[39] Hammond, T. (1999) A Preliminary Poll of Men Circumcised in Infancy or Childhood. British Journal of Urology International, 83, 85-92.
http://dx.doi.org/10.1046/j.1464-410x.1999.0830s1085.x
[40] Boyle, G.J., Goldman, R., Svoboda, J.S. and Fernandez, E. (2002) Male Circumcision: Pain, Trauma and Psychosexual Sequelae. Journal of Health Psychology, 7, 329-343.
http://dx.doi.org/10.1177/135910530200700310
[41] Goldman, R. (1997) Circumcision: The Hidden Trauma. Vanguard, Boston.
[42] Goldman, R. (1999) The Psychological Impact of Circumcision. British Journal of Urology International, 83, 93-103.
[43] Kim, D. and Pang, M.G. (2006) The Effect of Male Circumcision on Sexuality. British Journal of Urology International, 99, 619-622.
[44] Earp, B.D. and Darby, R. (2015) Does Science Support Infant Circumcision? A Skeptical Reply to Brian Morris. The Skeptic.
https://www.academia.edu/9872471/Does_science_support_infant_circumcision
[45] Tian, Y., Liu, W., Wang, J.-Z., et al. (2013) Effect of Circumcision on Male Sexual Functions: A Systematic Review and Meta-Analysis. Asian Journal of Andrology, 15, 662-666.
http://dx.doi.org/10.1038/aja.2013.47
[46] Morris, B.J., Bailis, S.A. and Wiswell, T.E. (2014) In Reply—Bias and Male Circumcision. Mayo Clinic Proceedings, 89, 1588-1589.
http://dx.doi.org/10.1016/j.mayocp.2014.09.002

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