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The Frenular Delta

A New Preputial Structure

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Understanding Circumcision

Abstract

Textbooks and papers referring to penile function state that the source of penile sensation is solely the glans and often justify the existence of the prepuce by stating it protects the ‘sensitive’ glans. These statements are contrary to the neuro-anatomical and physiological facts accumulated over more than a century. This study reviews the findings of Taylor, et al., that the prepuce is the primary sensory platform of the penis, and describes a new preputial structure.

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References

  1. Taylor J. The prepuce: what, exactly, is removed by circumcision – a preliminary report. Second International Symposium on Circumcision. 30 April-3 May 1991, San Francisco, California.

    Google Scholar 

  2. Taylor JR, Lockwood AP, Taylor AJ. The prepuce: specialized mucosa of the penis and its loss to circumcision. Br J Urol 1996;77:291–5.

    Article  PubMed  CAS  Google Scholar 

  3. Williams PL, Warwick R, Dyson M, Bannister L, editors. Gray’s Anatomy. 37th edition. Edinburgh: Churchill Livingstone, 1989; p. 1432.

    Google Scholar 

  4. Moldwin RM, Valderrama E. Immunohistochemical analysis of nerve distribution patterns within preputial tissue. J Urol 1989;141:499A.

    Google Scholar 

  5. Breza J, Aboseif SR, Orvis BR, Lue TF, Tanagho EA. Detailed anatomy of penile neurovascular structures: surgical significance. J Urol 1989;141:437–43.

    PubMed  CAS  Google Scholar 

  6. Jefferson G. Tbe peripenic muscle; some observations on the anatomy of phimosis. Surg Gynecol Obstet (Chicago) 1916;23:177–81.

    Google Scholar 

  7. Lakshmanan S, Prakash S. Human prepuce – some aspects of structure and function. Indian J Surg 1980;42:134–7.

    Google Scholar 

  8. Keith A, Shillitoe A. The preputial or odoriferous glands of man. Lancet 1904;1(4194):146–8. [16 January 1904] .

    Article  Google Scholar 

  9. Tyson E. Orang-Outang, Sive Homo Sylvestris: Or, The Anatomy of a Pygmie Compared with that of a Monkey, an Ape, and a Man. To which is added, A Philological Essay Concerning the Pygmies, the Cynocephali, the Satyrs, and Sphinges of the Ancients. London: s.n; 1699. Cited in: Saalfeld E. Über die Tyson’schen drüsen. Arch Mikr Anat 1899;53:212–8.

    Google Scholar 

  10. Dickinson RL. Human Sex Anatomy: A Topographical Hand Atlas. Baltimore: Williams & Wilkins, 1949;82.

    Google Scholar 

  11. Hyman AB, Brownstein MH. Tyson’s “Glands.” Ectopic sebaceous glands and papillomatosis penis. Arch Dermatol 1969;99:31–6.

    Article  PubMed  CAS  Google Scholar 

  12. Parkash S, Jeyakumar S, Subramanyan K, Chaudhuri S. Human subpreputial collection: its nature and formation. J Urol 1973;110:211–2.

    PubMed  CAS  Google Scholar 

  13. Barreto J, Caballero C, Cubilla A. Penis. In: Sternberg S, editor. Histology for Pathologists. New York: Raven Press; 1992. p. 725.

    Google Scholar 

  14. Prakash [sic, Parkash] S, Rao R, Venkatesan K, Ramakrishnan S. Sub-preputial wetness: it [sic] nature. Ann Natl Med Sci (India) 1982;18:109–12.

    Google Scholar 

  15. Taylor JR. Personal communication.

    Google Scholar 

  16. Yang CC, Bradley WE. Innervation of the human glans penis. J Urol 1999;161:97–102.

    Article  PubMed  CAS  Google Scholar 

  17. Van Howe RS. Anaesthesia for circumcision: a review of the literature. In: Denniston GC, Hodges FM, Milos MF, editors. Male and Female Circumcision: Medical, Legal, and Ethical Considerations in Pediatric Practice. New York: Kluwer/Plenum; 1999. pp. 67–97.

    Chapter  Google Scholar 

  18. Cold CJ. Personal communication. (Confirmed by me during a visit to his laboratory in 1998.)

    Google Scholar 

  19. Cold CJ, McGrath KA. Anatomy and histology of the penile and clitoral prepuce in primates: evolutionary perspective of specialised sensory tissue of the external genitalia. In: Denniston GC, Hodges FM, Milos MF, editors. Male and Female Circumcision: Medical, Legal, and Ethical Considerations in Pediatric Practice. New York: Kluwer/Plenum, 1999; pp. 19–29.

    Chapter  Google Scholar 

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© 2001 Springer Science+Business Media New York

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McGrath, K. (2001). The Frenular Delta. In: Denniston, G.C., Hodges, F.M., Milos, M.F. (eds) Understanding Circumcision. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-3351-8_11

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  • DOI: https://doi.org/10.1007/978-1-4757-3351-8_11

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4419-3375-1

  • Online ISBN: 978-1-4757-3351-8

  • eBook Packages: Springer Book Archive

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