Role of Postcircumcision Mucosal Cuff Length in Lifelong Premature Ejaculation: A Pilot Study


Seyed Reza Hosseini, MD, Sina Hospital, Hassan Abad square, Hafez Street, Tehran, 113674911, Iran. Tel: (+98) 2166701041; Fax: (+98) 2166737741; E-mail:


Introduction.  Premature ejaculation (PE) is the most prevalent sexual dysfunction among men. Several theories about its etiology have been made. One of the conflicting factors is the effect of circumcision on ejaculation, and there are some concerns about leaving so much mucosa during circumcision.

Aim.  In our study the relationship between mucosal cuff length and PE was investigated.

Methods.  Eighty-four circumcised men were studied, including 42 men with PE and 42 men without. The following data and measurements were investigated: age, education, smoking, intravaginal ejaculation latency time (IELT), circumcision timing, stretched penile, penile skin, and mucosal cuff lengths.

Main Outcome Measure.  Penile, mucosal cuff, and penile skin lengths, the IELT.

Results.  The mean penile, mucosal cuff, and penile skin lengths were 121.1 ± 12.8, 15.4 ± 4.8, and 80.8 ± 21.0 mm in PE men, respectively, and were 130.1 ± 10.4, 14.7 ± 3.4, and 88.7 ± 12.2 mm in the control group, respectively. No statistically significant differences were seen regarding the length of the penis (P = 0.80), mucosal cuff (P = 0.84), and penile skin (P = 0.99). The two groups were not different regarding education (P = 0.90), smoking (P = 0.70), and circumcision timing (P = 0.65).

Conclusion.  Postcircumcision mucosal cuff length is not a risk factor for PE. Hosseini SR, Khazaeli MH, and Atharikia D. Role of postcircumcision mucosal cuff length in lifelong premature ejaculation: A pilot study. J Sex Med 2008;5:206–209.