ABSTRACT
We disagree with Boyle’s recent article questioning our systematic review in Journal of Sexual Medicine in 2013 (Volume 10, pages 2644-2657). In particular, he disputed the quality ranking we assigned to 7 of the 36 articles that met our inclusion criteria. These had been ranked for quality by the Scottish Intercollegiate Guidelines Network (SIGN) grading system. We found that, “the highest-quality studies suggest that medical male circumcision has no adverse effect on sexual function, sensitivity, sexual sensation or satisfaction.” This conclusion was supported by two randomized controlled trials, regarded as high-quality (1++) evidence and the majority of surveys and studies involving physiological measurements comparing uncircumcised and circumcised men. Here we explain why the 2 randomized controlled trials merit a 1++ ranking and why 4 reports that Boyle believes merit a higher ranking only meet the criteria set down for low quality (2−) evidence according to the SIGN system. We therefore stand by our conclusions. These are supported by a meta-analysis of sexual dysfunctions and by a recent detailed systematic review of the histological correlates of male sexual sensation.
Male Circumcision Does Not Reduce Sexual Function, Sensitivity or Satisfaction
Male Circumcision Does Not Reduce the male Foreskin
of penile sexual sensationThis detailed review clearly demonstrated that the foreskin had no role in penile
sexual sensation
[6]. The foreskin, like skin in other locations, contains sensory receptors for touch, pain and
temperature. However, the histological findings confirm that it is the glans that is responsible for sexual sensa-
Boyle schrieb:
As Bossio et al. (2014) have recently stated, the paper by Morris and Krieger is “not a meta-analysis, thus, no
statistical analyses of the data have been performed; instead, the article presents the authors’ interpretation of
trends” (p. 2854) [10] .
...
1
This has not stopped Morris from claiming that he published a “meta-analysis” when he only cites the calculations performed by Tian et al.
(2013) [45]. In response to a letter to the editor Morris notes, “A recent methodologically impeccable systematic review and meta-analysis
has established that MC has no adverse effect on male sexual function, sensitivity, or satisfaction” and cites his own review with Krieger,
not the meta-analysis by Tian et al. (see Morris et al., 2014) [46]. Needless to say, referring to one’s own methodologically flawed review
(as demonstrated herein) as “methodologically impeccable” is also misleading.
...the circumcision ceremony that can
occur once in a lifetime and deemed as the
happiness and pride of a parent according
to Turkish custom and usage ..
The circumcision is accepted in
society as the transition ceremony from
childhood to manhood, its being a kind of
pride occasion for mother and father...
express that it is totally a part of these rights.
The fact is that the circumcision is a ritual
taking place within the customary and
religious rules of society. In cases where this
practice is not performed, the child
questions, being himself at the first place, his
personality and existence.
The social compliance of the action
accepted as a ceremony of traditionally
transition from childhood to manhood both
for the child, waiting the performance of
circumcision ceremony excitedly and the
family, is beyond dispute.
Most of the fathers who could remember their own emotions about circumcision confessed that they had been frightened. They remembered the procedure as painful
Conclusion: Circumcision performed by plastic clamp technique in adult males had a low early
complication rate with no long-term complications and caused improvement in some of the sexual functions.
.
CONFLICT OF INTEREST
None declared.
lim male at an average age of 7 years.(3) At some rural areas
of Turkey, children may not have the opportunity to get cir-
cumcised until their adulthood due to low socio-economic
status as well as the lack of adequate number of health pro-
fessionals. Adults are usually circumcised during the military
service or local mass circumcision campaigns.
The lower socio-cultural level of the men, which caused difficulty in understanding the items in the questionnaire as well as expressing the exact opinions and a 23,7% loss from follow-up could be limitations of our study.
Thus in 1939 Fieschi introduced internal mammary ligation as a procedure to improve blood flow to the heart. Not until a controlled study was done two decades later could it be demonstrated that the procedure was only as effective as the sham surgery.
Spaß am Sex wird nicht beschnitten
Gehen Männer mit der Vorhaut auch eines Stücks Lust verlustig? Seit der jüngsten Beschneidungsdebatte wird diese mögliche Folge einer Zirkumzision wieder ernsthaft als Gegenargument vorgebracht. Zu Unrecht, wie australische Urologen meinen.
There is a reason that the majority of "white" American men are circumcised, according physician. It is simply the healthiest
In the US, 81 percent of boys over 14 circumcised. Among whites, the entire 91 percent circumcised. The authors of the article conclude that "ethical and legal considerations supporting the boys 'right to protection from diseases by parents' acceptance of circumcision."
I wonder if the 73 percent who support a Danish ban has any insight or knowledge of why the vast majority of American parents choose to have their boys circumcised? I hope that future discussions about the boys circumcision containing several scientific facts and fewer emotional speech.
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