{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:49:33Z","timestamp":1786988973417,"version":"build-2736575974"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":701,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T00:00:00Z","timestamp":1609286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["smoa.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Male circumcision is recognized as the most effective method of phimosis treatment. Analyzing the literature, the information about the influence of male circumcision due to phimosis for patients' subjective symptoms such as itching, burning, penile pain, pain during intercourse, and quality of sexual life is insufficient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the effect of male circumcision due to phimosis to patients' subjective symptoms, including erectile function and satisfaction with their genitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The single-center prospective study began in January 2018 and ended in January 2020. Sixty-nine male, adult patients, who were qualified for circumcision due to phimosis, were included in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes Measures<\/jats:title>\n                    <jats:p>The study outcomes were obtained using questionnaires such as visual analog scale 0-10 for itching, burning, penile pain, and penile pain during intercourse; International Index of Erectile Function (IIEF-5) and Male Genital Self Image Scale 7 (MGSIS-7) to assess the changes in patients sexual functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before the circumcision of the 69 patients included in the study, 59 patients (86%) reported some subjective symptoms of phimosis. The most frequent and most severe complaint was pain during intercourse, then itching and burning of the penis. Penile pain at rest was the least frequent. After 3\u00a0months from circumcision, subjective symptoms almost completely disappeared. All of 69 patients declared to have a sexual partner. 3 months after circumcision, all patients achieved significant improvement in both obtaining and maintaining an erection based on IIEF-5 score. Their sexual intercourse was more satisfying for them.<\/jats:p>\n                    <jats:p>All patients suffering from phimosis were embarrassed about their genitals before surgery. 3 months after circumcision, satisfaction with genital self-image increased significantly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Male circumcision due to phimosis is not only relieving the clinical symptoms of phimosis, but it also improves the quality of sexual life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.esxm.2020.100315","type":"journal-article","created":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T09:21:20Z","timestamp":1612344080000},"page":"100315-100315","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life"],"prefix":"10.1093","volume":"9","author":[{"given":"Mateusz","family":"Czajkowski","sequence":"first","affiliation":[{"name":"Department of Urology, Medical University of Gda\u0144sk , Gda\u0144sk , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Czajkowska","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venerology and Allergology, Medical University of Gda\u0144sk , Gda\u0144sk , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolina","family":"Zara\u0144ska","sequence":"additional","affiliation":[{"name":"Student Research Group at the Department of Urology, Medical University of Gda\u0144sk , Gda\u0144sk , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicja","family":"Giemza","sequence":"additional","affiliation":[{"name":"Student Research Group at the Department of Urology, Medical University of Gda\u0144sk , Gda\u0144sk , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakub","family":"K\u0142\u0105cz","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical University of Gda\u0144sk , Gda\u0144sk , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0142gorzata","family":"Soko\u0142owska-Wojdy\u0142o","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venerology and Allergology, Medical University of Gda\u0144sk , Gda\u0144sk , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcin","family":"Matuszewski","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical University of Gda\u0144sk , Gda\u0144sk , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"key":"2023012008401385300_bib1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5301\/RU.2011.6433","article-title":"[Circumcision: history, religion and law]","volume":"78","author":"Totaro","year":"2011","journal-title":"Urologia"},{"key":"2023012008401385300_bib2","first-page":"1514","article-title":"Adult circumcision","volume":"59","author":"Holman","year":"1999","journal-title":"Am Fam Physician"},{"key":"2023012008401385300_bib3","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/j.1464-410X.1995.tb07244.x","article-title":"Adult circumcision under local anesthetic","volume":"75","author":"Wakefield","year":"1995","journal-title":"Br J Urol"},{"key":"2023012008401385300_bib4","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.urology.2019.10.003","article-title":"Prevalence of phimosis in males of all ages: systematic review","volume":"135","author":"Morris","year":"2020","journal-title":"Urology"},{"key":"2023012008401385300_bib5","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1002\/ijc.21009","article-title":"Penile cancer: importance of circumcision, human papillomavirus and smoking in in situ and invasive disease","volume":"116","author":"Daling","year":"2005","journal-title":"Int J Cancer"},{"key":"2023012008401385300_bib6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2011\/812368","article-title":"The strong protective effect of circumcision against cancer of the penis","volume":"2011","author":"Morris","year":"2011","journal-title":"Adv Urol"},{"key":"2023012008401385300_bib7","article-title":"R: a Language and Environment for statistical Computing (R Foundation for Statistical Computing, Vienna, 2015)","author":"R Core Team","year":"2015"},{"key":"2023012008401385300_bib8","doi-asserted-by":"crossref","DOI":"10.1007\/978-0-387-98141-3","article-title":"ggplot2: elegant graphics for data analysis","author":"Wickham","year":"2009"},{"key":"2023012008401385300_bib9","first-page":"337","article-title":"Lichen sclerosus-presentation, diagnosis and management","volume":"113","author":"Kirtschig","year":"2016","journal-title":"Dtscharztebl Int"},{"key":"2023012008401385300_bib10","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1002\/bjs.1800801005","article-title":"Complications of circumcision","volume":"80","author":"Williams","year":"1993","journal-title":"Br J Surg"},{"key":"2023012008401385300_bib11","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1111\/j.1464-410X.2006.06646.x","article-title":"The effect of male circumcision on sexuality","volume":"99","author":"Kim","year":"2007","journal-title":"BJU Int"},{"key":"2023012008401385300_bib12","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1111\/j.1464-410X.2012.11761.x","article-title":"Male circumcision decreases penile sensitivity as measured in a large cohort","volume":"111","author":"Bronselaer","year":"2013","journal-title":"BJU Int"},{"issue":"Suppl 1","key":"2023012008401385300_bib13","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1046\/j.1464-410x.1999.0830s1034.x","article-title":"The prepuce","volume":"83","author":"Cold","year":"1999","journal-title":"BJU Int"},{"key":"2023012008401385300_bib14","first-page":"699","article-title":"Fine-touch pressure thresholds in the adult penisBJU","volume":"100","author":"Young","year":"2007","journal-title":"Int"},{"key":"2023012008401385300_bib15","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/sm2.67","article-title":"Histological correlates of penile sexual sensation: does circumcision Make a difference","volume":"3","author":"Cox","year":"2015","journal-title":"Sex Med"},{"key":"2023012008401385300_bib16","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.esxm.2020.08.011","article-title":"The contrasting Evidence concerning the effect of male circumcision on sexual function, sensation, and pleasure: a systematic review","volume":"8","author":"Morris","year":"2020","journal-title":"Sex Med"},{"key":"2023012008401385300_bib17","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.esxm.2019.03.003","article-title":"Sex and male circumcision: women's preferences across different cultures and countries: a systematic review","volume":"7","author":"Morris","year":"2019","journal-title":"Sex Med"},{"key":"2023012008401385300_bib18","doi-asserted-by":"crossref","first-page":"e12851","DOI":"10.1111\/and.12851","article-title":"Circumcision does not have effect on premature ejaculation: a systematic review and meta-analysis","volume":"50","author":"Yang","year":"2018","journal-title":"Andrologia"},{"key":"2023012008401385300_bib19","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1038\/aja.2013.47","article-title":"Effects of circumcision on male sexual functions: a systematic review and meta-analysis","volume":"15","author":"Tian","year":"2013","journal-title":"Asian J Androl"},{"key":"2023012008401385300_bib20","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.kjms.2013.10.004","article-title":"The effect of circumcision on young adult sexual function","volume":"30","author":"Yang","year":"2014","journal-title":"Kaohsiung J Med Sci"},{"key":"2023012008401385300_bib21","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1159\/000085930","article-title":"Penile sensitivity and sexual satisfaction after circumcision: are we informing men correctly","volume":"75","author":"Masood","year":"2005","journal-title":"Urol Int"},{"key":"2023012008401385300_bib22","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1038\/ijir.2016.21","article-title":"Somatosensory evoked potentials assess the efficacy of circumcision for premature ejaculation","volume":"28","author":"Xia","year":"2016","journal-title":"Int J Impot Res"},{"key":"2023012008401385300_bib23","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1111\/j.1464-410X.2007.07369.x","article-title":"The effect of male circumcision on sexual satisfaction and function, results from a randomized trial of male circumcision for human immunodeficiency virus prevention, Rakai, Uganda","volume":"101","author":"Kigozi","year":"2008","journal-title":"BJU Int"},{"key":"2023012008401385300_bib24","doi-asserted-by":"crossref","first-page":"766","DOI":"10.4102\/phcfm.v7i1.766","article-title":"Erectile function in circumcised and uncircumcised men in Lusaka, Zambia: a cross-sectional study","volume":"7","author":"Chinkoyo","year":"2015","journal-title":"Afr J Prim Health Care Fam Med"},{"key":"2023012008401385300_bib25","first-page":"1516","article-title":"The development and validation of the Male Genital Self-Image Scale: results from a nationally representative probability sample of men in the United States","volume":"10","author":"Herbenick","year":"2013","journal-title":"J\u00a0Sex Med"}],"container-title":["Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2050116120302038?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2050116120302038?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/smoa\/article-pdf\/9\/2\/100315\/48796669\/smoa_9_2_100315.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/smoa\/article-pdf\/9\/2\/100315\/48796669\/smoa_9_2_100315.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,29]],"date-time":"2023-10-29T16:48:56Z","timestamp":1698598136000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/smoa\/article\/9\/2\/100315\/6956612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,2]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4,1]]}},"URL":"https:\/\/doi.org\/10.1016\/j.esxm.2020.100315","relation":{},"ISSN":["2050-1161"],"issn-type":[{"value":"2050-1161","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,4]]},"published":{"date-parts":[[2021,2,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life","name":"articletitle","label":"Article Title"},{"value":"Sexual Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.esxm.2020.100315","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 The Authors. Published by Elsevier Inc. on behalf of the International Society for Sexual Medicine.","name":"copyright","label":"Copyright"}]}}