Circumcision – Pros and Cons of this Procedure

Circumcision, the surgical removal of the foreskin that covers the tip of the penis, remains a topic of significant medical, cultural, and personal interest. With approximately 10-15% of males worldwide having undergone this procedure, understanding its implications becomes essential for informed decision-making. This article examines what circumcision means, its various types, and the potential advantages and disadvantages it may present including its reported effects on sexual performance and health outcomes.

CircumcisionWhat Is Circumcision

Circumcision refers to the surgical removal of the foreskin, the fold of skin that covers the glans (head) of the penis. This procedure can be performed at various stages of life—from infancy to adulthood—for religious, cultural, medical, or personal reasons.

The practice of circumcision dates back thousands of years and holds significant importance in several religious traditions, including Judaism and Islam. In many cultures, it represents a rite of passage or fulfills traditional expectations. However, medical perspectives on routine circumcision vary widely across different countries and healthcare systems.

What Does It Mean To Be Circumcised?

When a male is circumcised, the foreskin that naturally covers the glans of the penis is surgically removed, permanently exposing the tip of the penis. The foreskin, sometimes considered vestigial by some medical professionals, serves several natural functions in uncircumcised males, including protection of the glans and providing natural lubrication during sexual activity.

Circumcised Penises Types

Contrary to popular belief, circumcision is not a standardized procedure, and the results can vary significantly depending on:

  1. High and Tight – A style where most of the foreskin is removed, resulting in tight skin along the shaft when erect.
  2. High and Loose – Removes the foreskin while preserving some outer skin, allowing for more movement.
  3. Low and Tight – Removes more inner foreskin and results in the scar line being closer to the glans.
  4. Low and Loose – Preserves more outer skin while removing the inner foreskin.
  5. Partial Circumcision – Only removes part of the foreskin, leaving some to cover the glans partially.

The specific technique used and the amount of foreskin removed can influence both the appearance and the sensory experience afterward.

Circumcised Vs Uncircumcised

The distinctions between circumcised and uncircumcised penises extends beyond mere physical appearance. These differences can influence hygiene practices, sexual experiences, and health outcomes.

Physical Differences

The most apparent distinction lies in the presence or absence of the foreskin:

  • Circumcised penis: The glans remains permanently exposed, and the skin on the shaft may be tighter during erection.
  • Uncircumcised penis: The foreskin covers the glans when flaccid and typically retracts during erection, providing a natural gliding mechanism during sexual activity.

Sensitivity And Sexual Experience

Research on sensitivity differences shows mixed results:

  • Some studies suggest that circumcised men may experience decreased sensitivity in the glans due to keratinization (thickening of the skin) that occurs after constant exposure.
  • Other research indicates no significant difference in sexual satisfaction between circumcised and uncircumcised males.

Why Do People Get Circumcised?

The reasons for circumcision vary widely across different populations:

Religious And Cultural Reasons

Many males undergo circumcision as part of religious traditions:

  • In Judaism, circumcision (Brit Milah) typically occurs on the eighth day after birth
  • In Islam, circumcision (Khitan) is considered an act of hygiene and religious tradition
  • Various African, Australian Aboriginal, and other cultural groups practice circumcision as coming-of-age rituals

Medical Reasons

Several medical conditions may necessitate circumcision:

  • Phimosis: A condition where the foreskin cannot be retracted over the glans
  • Paraphimosis: When the foreskin, once retracted, cannot return to its original position
  • Balanitis: Recurrent inflammation of the glans
  • Posthitis: Inflammation of the foreskin

Circumcision Pros And Cons

When considering circumcision, weighing the potential benefits against possible drawbacks becomes crucial for making an informed decision.

Advantages Of Circumcision

Medical Benefits

  1. Reduced Risk of UTIs: Circumcised infants appear to have a lower risk of urinary tract infections during the first year of life.
  2. Decreased Risk of STIs: Multiple studies suggest that circumcised men may have lower rates of certain sexually transmitted infections. Research indicates circumcision reduces the risk of HIV, HPV, syphilis, and gonorrhea transmission.
  3. Prevention of Penile Problems: Circumcision eliminates the risk of phimosis and paraphimosis, conditions affecting the foreskin.
  4. Lower Risk of Penile Cancer: Though rare, penile cancer occurs less frequently in circumcised males.

Sexual Benefits

  1. Prolonged Sexual Intercourse: One notable advantage frequently mentioned is the potential for extended sexual performance. The decreased sensitivity after circumcision may allow men to maintain an erection and delay ejaculation by approximately 20-30 seconds longer on average.
  2. Enhanced Pleasure for Partners: According to surveys, a significant percentage of female partners report enjoying intercourse with circumcised males. Studies suggest that around 95% of women claimed they enjoy sexual intercourse with males having a circumcised penis.
  3. Better Overall Satisfaction: Many circumcised men report improved satisfaction for both themselves and their partners during sexual activity.

Disadvantages Of Circumcision

Medical Cons

  1. Surgical Risks: Like any surgical procedure, circumcision carries risks of bleeding, infection, and complications from anesthesia.
  2. Pain and Healing Time: The procedure requires a healing period, during which discomfort may be experienced, particularly in adult circumcisions.
  3. Possibility of Surgical Error: Rarely, excessive skin removal or other surgical complications can occur.

Functional Considerations

  1. Loss of Natural Protection: The foreskin naturally protects the glans from friction and environmental exposure.
  2. Reduced Sensitivity: Some men report decreased penile sensitivity following circumcision due to the keratinization of the exposed glans.
  3. Loss of Natural Lubrication: Uncircumcised penises benefit from the natural lubrication provided by the foreskin during sexual activity.

Circumcision

Is Circumcision Good?

The question of whether circumcision positively affects sexual performance remains complex, with evidence pointing to both advantages and potential drawbacks.

How Circumcision Influences Sexual Duration

The relationship between circumcision and sexual stamina stems from neurological changes:

  • With the foreskin removed, the glans becomes less sensitive over time due to constant exposure
  • This decreased sensitivity often translates to delayed ejaculation
  • On average, circumcised men may last 20-30 seconds longer before ejaculation compared to their pre-circumcision performance

Effects On Partner Experience

Partner perspectives add another dimension to this discussion:

  • Survey data suggests many female partners report positive experiences with circumcised partners
  • Better hygiene (perceived or actual) may contribute to partner preference
  • The altered friction dynamics during intercourse create different sensations for both partners

Psychological Factors

The psychological aspects of circumcision should not be overlooked:

  • Confidence in appearance can positively influence sexual performance
  • Cultural norms and personal preferences play significant roles in satisfaction
  • Body image perception may improve following elective adult circumcision

Male Circumcision:

Medical organizations worldwide hold varying positions on routine circumcision:

Medical Stance

The medical community remains divided on routine infant circumcision:

  • The American Academy of Pediatrics states that benefits outweigh risks, but not enough to recommend universal circumcision
  • The Canadian Paediatric Society does not recommend routine circumcision
  • European medical societies generally oppose routine infant circumcision
  • The World Health Organization recommends voluntary adult circumcision in areas with high HIV prevalenceesthesia