Can circumcision cure premature ejaculation?

Circumcision usually does not directly treat premature ejaculation. The occurrence of premature ejaculation involves the combined effects of psychological, neurological, endocrine and other factors. Excessive foreskin may only be one of the influencing factors.

Premature ejaculation refers to ejaculation occurring within a short period of time after the penis is inserted into the vagina. There is currently no clear evidence that simple circumcision can cure premature ejaculation. Most patients still need to improve their symptoms through psychological counseling, behavioral training, or drug treatment after surgery. Pathological factors such as hypersensitivity of the dorsal nerve of the penis, excessive sympathetic nerve excitement, and prostatitis are the more common causes of premature ejaculation. Simply removing the foreskin cannot specifically solve these problems. It is true that excessive foreskin may induce balanitis due to poor local hygiene and indirectly affect the ability to control ejaculation, but this situation is only seen in a small number of patients with recurrent infections.

Multiple international clinical studies have shown that about 30% of patients subjectively feel that ejaculation time is prolonged after circumcision, but this improvement is mostly related to the temporary decrease in sensitivity caused by the keratinization of the glans surface after surgery, and the effect usually lasts for about 6 months. Patients with severe phimosis or recurrent balanitis may experience some improvement after surgery due to the relief of local irritation, but this group of people accounts for less than 10% of premature ejaculation patients. If the patient also has psychological problems such as anxiety and depression, cognitive behavioral therapy or anti-anxiety drug intervention is still required after surgery.

It is recommended that patients who are troubled by premature ejaculation first go to the urology department or andrology department of a regular hospital to determine the cause through professional scale assessment and physical examination. In clinical practice, dapoxetine tablets, paroxetine hydrochloride tablets and other drugs are commonly used to regulate neurotransmitters, and the effect is better when combined with behavioral training such as squeeze therapy. Lifestyle adjustments such as maintaining a regular sexual frequency, avoiding excessive masturbation, and wearing loose cotton underwear can also help relieve symptoms.