Antecedents of Emotional Distress and Sexual Dissatisfaction in Circumcised Men: Previous Findings and Future Directions—Comment on Bossio and Pukall (2017)
Bossio and Pukall (2017) make an important contribution by identifying the subpopulation of men distressed by having been circumcised nontherapeutically as infants or children. This group, heretofore largely overlooked, has been recognized for decades by grassroots citizens concerned about risks, harms, and disadvantages of culturally motivated genital cutting.
We agree that “Future research is required to…explore the antecedents of distress in this subpopulation.” Although earlier explorations of such antecedents were reported, those surveys relied on self-selecting samples and should be regarded as preliminary (Hammond, 1999; Hammond & Carmack, 2017). Even so, serious and even debilitating distress over having been circumcised in infancy has now been described in several reports (Earp & Darby, 2017).
Based on available data, such distress can be caused by physical damage, including excessive skin removal causing tight, painful erections; meatal stenosis; prominent or irregular...
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