Mucosal cuff length to penile length ratio may affect the risk of premature ejaculation in circumcised males

Data regarding the relation between premature ejaculation (PE) and post-circumcision mucosal cuff length are controversial. The aim of this study is to analyze the relation between post-circumcision mucosal cuff length/penile length ratio (MCR) and PE. After exclusion of patients with erectile dysfunction, penile deformity, history of penile surgery and severe lower urinary tract symptoms, 49 circumcised men with PE were included. The control group is constituted of 50 healthy volunteers with normal ejaculatory function. Self-estimated intravaginal ejaculation latency time (IELT) and premature ejaculation profile (PEP) measures of all subjects were recorded, and the MCRs of patients and controls were compared. The mean age of PE patients and controls was 35.82±7.73 (range 23–54) and 38.78±13.42 (range 19–71) years, respectively ( P =0.183). Although mucosal cuff length was not associated with either self-estimated IELT ( r =−0.185, P =0.067) or PEP ( r =−0.098, P =0.336), there was a negative correlation between MCR and self-estimated IELT ( r =−0.205, P =0.0001) and PEP measures ( r =−0.308, P =0.002). The length of the mucosal cuff after circumcision may have an impact on ejaculatory function. Surgeons should avoid leaving excessive amount of mucosa during circumcision.