Does Circumcision Have a Relationship With Ejaculation Time?

Premature Ejaculation Evaluated Using New Diagnostic Tools

BF Alp; S Uguz; E Malkoc; F Ates; F Dursun; S Okcelik; H Kocoglu; AK Karademir

Int J Impot Res. 2014;26(4):121-123.

Conclusion

Circumcision does not adversely affect ejaculatory functions in adults; they may slightly improve. However, it could not be interpreted as a justification for circumcision in men with PE. Currently, sufficient data to clarify the relationship between PE and adult circumcision are lacking.

1 2 3 4 5

Next Section

Table 1. Mean ±s.d./median (range) values of intravaginal ejaculatory latency time (IELT) and premature ejaculation diagnostic tool (PEDT) scores, consisting of total PEDT scores (TPES) and the scores of five questions described in Appendix, before and 3 months after adult circumcision.
Parameters	Pre-circumcision	Post-circumcision	P value
Parameters	Mean ±s.d./median (range)		P value
IELT (s)	104.36±66.21/88 (26–307)	123.56±54.44/107.5 (67–300)	0.001
PEDT
TPES	4.26±2.91/3 (1–12)	2.63±1.82/2 (0–7)	<0.0001
Question 1	1.47±1.1/1 (0–4)	0.83±0.6/1 (0–2)	0.003
Question 2	1±0.9/1 (0–3)	0.67±0.7/1 (0–2)	0.026
Question 3	0.46±0.9/0 (0–3)	0.37±0.6/0 (0–2)	0.417
Question 4	0.46±0.8/0 (0–2)	0.3±0.5/0 (0–1)	0.129
Question 5	0.86±0.9/1 (0–3)	0.47±0.8/0 (0–3)	0.006

Appendix

Questions in the premature ejaculation diagnostic tool (PEDT) questionnaire:^[15]

Questions		Not difficult at all	Somewhat difficult	Moderately difficult	Very difficult	Extremely difficult
1	How difficult is it for you to delay ejaculation?	0	1	2	3	4
		Never or almost never (0%)	Less than half the time (25%)	About half the time (50%)	Over half the time (75%)	Always or almost always (100%)
2	Do you ejaculate before you want to?	0	1	2	3	4
3	Do you ejaculate with very little stimulation?	0	1	2	3	4
		Not at all	Slightly	Moderately	Very	Extremely
4	Do you feel frustrated because of ejaculating before you want to?	0	1	2	3	4
5	How concerned are you that your time to ejaculation leaves your partner unfulfilled?	0	1	2	3	4