Psychological and sexual effects of circumcision in adult males


  • Yasin Aydogmus Etimesgut Military Hospital
  • Murat Semiz Department of Psychiatry, Gulhane Military Medical Academy, Ankara, Turkey
  • Okan Er Department of Psychiatry, Etimesgut Military Hospital, Ankara, Turkey
  • Okan Bas Department of Urology, Abdurrahman Yurtaslan Oncology Education and Research Hospital, Ankara, Turkey
  • Irfan Atay Department of Urology, Health Center of Airforce Military Academy, Istanbul, Turkey
  • Muhammet Fatih Kilinc Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey



Adult, circumcision, premature ejaculation, psychology, body cathexis, social anxiety


Introduction: Our aim was to investigate the psychological and sexual effects of circumcision in adult men, and analyze these changes following circumcision.

Methods: We included 37 adults who applied to our clinic for circumcision and who did not have any psychiatric or urologic disorders and age-matched 30 controls in our study. Body Cathexis Scale (BCS), Liebowitz Social Anxiety Scale (LSAS), and Premature Ejaculation Diagnostic Tool (PEDT) were applied to the study group twice, once before and once three months after circumcision, and only once in the control group. Also, intravaginal ejaculation latency time (IELT) was noted and premature ejaculation (PE) evaluation was done. Intra- and intergroup comparisons were performed.

Results: The two groups were similar with regard to demographic data. Comparison of preoperative BCS and LSAS scores with the scores of the control group showed significant differences (p=0.003, p0.05, and p>0.05, respectively). Scores of all scales showed significant improvements postoperatively. Also, PEDT scores and IELT changes before and after circumcision were significant in the study group, but not when compared to the control group.

Conclusions: Our results indicated that social anxiety and anxiety levels decreased after circumcision in adult Turkish men, and their body gratification increased. We found that not being circumcised might negatively affect individuals in adulthood when it comes to body image and sexual satisfaction, however, both improve after circumcision.


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Author Biography

Yasin Aydogmus, Etimesgut Military Hospital





How to Cite

Aydogmus, Y., Semiz, M., Er, O., Bas, O., Atay, I., & Kilinc, M. F. (2016). Psychological and sexual effects of circumcision in adult males. Canadian Urological Association Journal, 10(5-6), E156–60.



Original Research