The Comparison of Men Circumcised in Adulthood and Circumcised in Childhood In Terms of Self- Esteem, Mood and Sexual Functions

Abstract

Objective: In this study, we aimed to evaluate the self-esteem, mood, and sexual functions of men who applied to the Urology outpatient clinic voluntarily for circumcision.

Material and Methods: We assessed 20 adult male patients who admitted to our outpatient clinic for circumcision and 20 control group patients between 2016 and 2019. All patients were filled out Rosenberg self-esteem scale, Hospital anxiety and depression test and Arizona sexual experiences scale forms. Patients circumcised in adulthood were named as Group I and those who were circumcised in childhood were named as Group II. It was investigated whether there was a statistically significant difference between the two groups in terms of Rosenberg self-esteem scale, Hospital anxiety and depression test and Arizona sexual experiences scale (ASEX) scores. P <0.05 was considered significant.

Results: The mean age of 40 patients included in the study was 21.32 ± 1.62. Mean Rosenberg self esteem score was 2.15 ± 2.10, mean anxiety score was 6.70 ± 4.83, mean depression score was 6.27 ± 4.21 ant mean ASEX score was 12.37 ± 3.51. Mean Rosenberg self-esteem scores were 1.9+/-1.58 in Group I and 2.4+/-2.54 in Group II. Mean anxiety scores were 6.4+/-5.13 in Group I and 7+/-4.63 in Group II. Mean depression scores were 6.3+/-3.43 in Group I and 6.25+/-4.96 in Group II. Mean ASEX scores were 12.85+/-3.71 in Group I and 11.9+/-3.32 in Group II. There was no statistically significant difference between the two groups in terms of the Rosenberg self-esteem, anxiety, depression and ASEX scores (p=0.08, p=0.64, p=0.50, and p=0.40; respectively).

Conclusion: The self-esteem of men applying for circumcision in adulthood is not affected. This situation does not affect the emotional state and sexual life of the people.

Keywords

• Circumcision
• mood
• self-esteem
• sexual function

Erişkin Yaşta Sünnet Olmak Üzere Başvuran Erkeklerle Çocukluk Çağında Sünnet Olan Erkeklerin Benlik Saygısı, Duygu Durum ve Seksüel Fonksiyonlar Açısından Karşılaştırılması

Abstract

Amaç: Bu çalışmada, Üroloji polikliniğine gönüllü olarak sünnet olmak üzere başvuran erkeklerin benlik saygısı, duygu durum ve seksüel fonksiyonlarını değerlendirmeyi amaçladık.

Gereç ve Yöntemler: Bu çalışmada 2016-2019 yılları arasında polikliniğimize sünnet isteği ile başvuran 20 erişkin erkek hasta ve 20 kontrol grubu hasta değerlendirildi. Tüm hastalara Rosenberg benlik saygı ölçeği, Hastane anksiyete ve depresyon testi ve Arizona cinsel yaşantılar formları doldurtuldu. Erişkin çağda sünnet edilen hastalar Grup I, çocukluk çağında sünnet edilmiş olan hastalar ise Grup II olarak adlandırıldı. Her iki grup arasında Rosenberg benlik saygı ölçeği, Hastane anksiyete ve depresyon testi ve Arizona cinsel yaşantılar ölçek(ASEX) skorları açısından istatistiksel anlamlı bir fark olup olmadığı araştırıldı. P< 0.05 olması anlamlı olarak kabul edildi.

Bulgular: Çalışmaya dahil edilen 40 hastanın ortalama yaşı 21.32 ± 1,62 idi. Ortalama Rosenberg benlik saygısı skoru; 2.15 ± 2,10, ortalama anksiyete skoru 6.70 ± 4,83, ortalama depresyon skoru 6.27 ± 4,21 ve ortalama ASEX skoru 12.37 ± 3,51 idi. Ortalama Rosenberg benlik saygı skoru Grup I’ de 1.9+/-1,58 ve Grup II’ de 2,4+/-2,54 idi. Ortalama anksiyete skoru Grup I’de 6,4+/-5,13 ve Grup II’ de 7+/-4,63 idi. Ortalama depresyon skoru Grup I’ de 6,3+/-3,43 ve Grup II’ de 6,25+/-4,96 idi. Ortalama ASEX skoru Grup I’ de 12,85+/-3,71 ve Grup II’ de 11,9+/-3,32 idi. Her iki grup arasında Rosenberg benlik saygısı, anksiyete, depresyon ve ASEX skorları açısından istatistiksel anlamlı bir fark izlenmedi (p=0,08, p=0,64, p=0,50, ve p=0,40; sırasıyla).

Sonuç: Erişkin yaşta sünnet olmak üzere başvuran erkeklerin benlik saygısı etkilenmemektedir. Bu durum kişilerin duygu durumlarına ve cinsel yaşantılarına etki etmemektedir.

Keywords

• Sünnet
• Duygu durum
• benlik saygısı
• seksüel fonksiyon

References

1. 1. Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized mucosa of the penis and its loss to circumcision. Br J Urol. 1996;77(2):291-5.
2. 2. Ferhatoglu MF, Kartal A, Gurkan A. Evaluation of Male Circumcision: Retrospective Analysis of One Hundred and Ninety-eight Patients. Cureus. 2019;11(4):e4555.
3. 3. Prusente S, Khuzwayo N, Sikweyiya Y. Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspective. Afr J Prim Health Care Fam Med. 2019;11(1):e1-e11.
4. 4. Ensor S, Davies B, Rai T, Ward H. The effectiveness of demand creation interventions for voluntary male medical circumcision for HIV prevention in sub-Saharan Africa: a mixed methods systematic review. J Int AIDS Soc. 2019;22 Suppl 4:e25299.
5. 5. Kigozi G, Watya S, Polis CB, Buwembo D, Kiggundu V, Wawer MJ, et al. 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. BJU Int. 2008;101(1):65-70.
6. 6. Adayener C, Ateş F, Semiz ÜB, Soydan H, Malkoç E, Şenkul T, Baykal K. Improved body cathexis appraisal after circumcision in adult men. Gülhane Tıp Dergisi 2010; 52: 185-188
7. 7. Soydan H, Okcelik S, Malkoc E, Ates F, Adayener C, Yilmaz Ö, et al. Tubularized incised plate urethroplasty in adults under local anaesthesia. Revista Internacional de Andrología. 2015;13(2):42-6.
8. 8. White C, Schweitzer R. The role of personality in the development and perpetuation of chronic fatigue syndrome. J Psychosom Res. 2000;48(6):515-24.

9. 9. Çuhadaroğlu F. Self-esteem in adolescents. Unpublished master thesis Psychiatry,1986, Hacettepe University, Ankara, Turkey
10. 10. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
11. 11. Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane Anksiyete ve Depresyon Ölçeği Türkçe Formunun Geçerlilik ve Güvenilirlik Çalışması. Türk Psikiyatri Dergisi 1997;8(4);280-87
12. 12. Soykan A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res. 2004;16(6):531-4.
13. 13. McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM, et al. The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther. 2000;26(1):25-40.
14. 14. Altunkol A, Abat D, Topuz AN, Alma E, Gurbuz ZG, Verit A. Muslim mothers mainly saw circumcision in terms of religion or tradition but wanted it to be carried out medical professionals. Acta Paediatr. 2019.
15. 15. Krieger JN, Mehta SD, Bailey RC, Agot K, Ndinya-Achola JO, Parker C, et al. Adult male circumcision: effects on sexual function and sexual satisfaction in Kisumu, Kenya. J Sex Med. 2008;5(11):2610-22.
16. 16. Yang MH, Tsao CW, Wu ST, Chuang FP, Meng E, Tang SH, et al. The effect of circumcision on young adult sexual function. Kaohsiung J Med Sci. 2014;30(6):305-9.
17. 17. Frisch M, Lindholm M, Gronbaek M. Male circumcision and sexual function in men and women: a survey-based, cross-sectional study in Denmark. Int J Epidemiol. 2011;40(5):1367-81.
18. 18. Kalkan M, Şahin C, Toraman AR, Turkan S. A comparison of sense of self and self-esteem in uncircumcised men over the age of 20 to those who were circumcised during childhood. Turkish Journal of Urology 2010;36(4):411-417
19. 19. Hammond T. A preliminary poll of men circumcised in infancy or childhood. BJU Int. 1999;83 Suppl 1:85-92.
20. 20. Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States. Prevalence, prophylactic effects, and sexual practice. JAMA. 1997;277(13):1052-7.
21. 21. Richters J, Smith AM, de Visser RO, Grulich AE, Rissel CE. Circumcision in Australia: prevalence and effects on sexual health. Int J STD AIDS. 2006;17(8):547-54.
22. 22. Morris BJ, Krieger JN. Does male circumcision affect sexual function, sensitivity, or satisfaction?--a systematic review. J Sex Med. 2013;10(11):2644-57.