Elective, adult circumcision does not affect patient perception of sexual health as defined by the Male Sexual Health Questionnaire (MSHQ)

Abstract

Background There is persistent concern over circumcision's effect on sexual health. This prospective study was conducted to establish the effect circumcision has on patient perceptions of sexual health and satisfaction. Methods A prospective, review board approved, study was conducted to compare changes in the pre- and post-operative Male Sexual Health Questionnaire (MSHQ). All patients over the age of 18 were offered enrollment and completed the MSHQ prior to the procedure. Procedure time, blood loss, and complications were documented. Patients then returned at 8–10 weeks for physical examination and completion of a post-procedure MSHQ and patient satisfaction questionnaire. Results Of the 30 enrolled patients, 28 were available for review. The average age was 32.4 years (range 18–70 years). Indications included phimosis (10/30, 33.3%), social desire (19/30, 63.3%) and skin lesions (1/30, 3.3%). The average time for the procedure was 31.8 minutes (range 16–46 minutes) with an average blood loss of 7.9 cc (range 1–20.2 cc). Most were pleased with the results as defined by the non-validated questionnaire: 13/28 (46.4%) were “very satisfied”, 14/28 (50%) were “satisfied” and 1/28 (3.5%) was “very dissatisfied”. There was no change in sexual health based on the MSHQ in all men who underwent the procedure. Conclusions This is the first study showing patients have no change in sexual health as outlined by the MSHQ. This study may provide a useful tool to aid in counseling patients concerned about elective circumcision's possible effect on male sexual health.