Abstract
Policy statements on penile circumcision have focused primarily on disease, dysfunction, or sensation, with relatively little consideration of psychological and psychosocial implications of the procedure. There has also been minimal consideration of potential qualitative changes in the subjective experience of sexual activity following changes in penile anatomy (foreskin removal) or associated sexual biomechanics. We present a critical overview of literature on the psychological, psychosocial, and psychosexual implications of penile circumcision. We give consideration to differences among circumcisions performed in infancy, childhood, or adulthood. We also discuss potential psychosocial effects on parents electing, or failing to elect, circumcision for their children. We propose a framework for policy considerations and future research, recognizing that cultural context is particularly salient for the narratives individuals construct around penile circumcision, including both affected individuals and medical professionals who perform the surgeries. We argue that additional attention should be paid to the potential for long-term effects of the procedure that may not be properly considered when the patient is an infant or child.
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Change history
27 April 2022
Dr. Tye’s affiliation was wrong and was corrected to: Dean, College of Health Professions, Pace University, 163 William St., 5th Floor, New York, NY 10038, USA.
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MT formulated the outline of the paper and wrote the initial draft, LS significantly revised and edited the paper per recommendations and comments of reviewers.
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Tye, M.C., Sardi, L.M. Psychological, psychosocial, and psychosexual aspects of penile circumcision. Int J Impot Res 35, 242–248 (2023). https://doi.org/10.1038/s41443-022-00553-9
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DOI: https://doi.org/10.1038/s41443-022-00553-9
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