More than 98 per cent of men who are circumcised can enjoy the same levels of sexual satisfaction and performance as men who are not, according to a study of nearly 4,500 males published in the January issue of the UK-based urology journal BJU International.
The randomised trial, carried out by researchers from Uganda and the USA, was undertaken because previous studies showed that the procedure which is now recommended as an efficient way to reduce HIV transmission - showed conflicting results.
Previous studies have been problematic and shown contradictory results points out co-author Professor Ronald H Gray from the Bloomberg School of Health at Johns Hopkins University, Baltimore, USA.
Studies focusing on men circumcised in adulthood were highly selective, because there were medical indications for surgery, circumcised infants cant provide before and after comparisons and in most studies sample sizes were small and follow-up was short.
This study, carried out as part of an HIV prevention initiative, enabled us to compare two groups of men with the same demographic profiles and levels of sexual satisfaction and performance at the start of the study.
The research team looked at 4,456 sexually experienced Ugandan men aged from 15 to 49 who did not have the HIV virus. 2,210 were randomised to receive circumcision and 2,246 had their circumcision delayed for 24 months.
They followed up both sets of men at six, 12 and 24 months and then compared the information on sexual desire, satisfaction and sexual performance for the circumcised men and the control group.
Their research showed that:
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