The effect of post-circumcision mucosal cuff length on premature ejaculation

Abstract

Introduction: We aimed to compare the length of mucosal cuff after circumcision in patients with and without a complaint of premature ejaculation (PE).

Methods: Sexually active patients without erectile dysfunction that presented to the urology polyclinic between March 2018 and June 2018 were included in this multicentered, prospective study. I he circumcision age of the patients, the person who performed the procedure (surgeon, non-surgeon), penile length, and dorsal and ventral penile measurements were recorded and compared between patients with and without PE.

Results: A total of 208 patients were included in the study. The mean circumcision age of the patients was 5.7 +/- 4.2 years, and the mean dorsal and ventral mucosal sizes were 15.02 +/- 4.58 mm and 16.31 +/- 4.92 mm, respectively. PE was present in 106 of the participants. There was no statistically significant difference between the PE and non-PE groups in terms of the person who performed the procedure (surgeon, non-surgeon). However, patients with PE had statistically significantly longer dorsal arid ventral mucosal measurements compared to those without PE (p<0.001).

Conclusions: Our study showed that the dorsal arid ventral lengths of mucosal tissue left behind after circumcision are a risk factor for PE. Therefore, special attention should be paid not to leave redundant dorsal and ventral mucosal tissue during this procedure.