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|url=https://bjui-journals.onlinelibrary.wiley.com/doi/epdf/10.1002/bco2.123
|format=PDF
|accessdate=2022-03-01
}}</ref> This classification was based on the work of Simon Podhar in Slovenia. Podnar relates that he had observed in clinical practice that the penilo-cavernosus reflex seemed to be more difficult to elicit clinically in circumcised men. A formal study was established to test these obverations.<ref>{{REFjournal
|last=Podnar
|first=Simon
|init=
|author-link=
|etal=no
|title=Clinical elicitation of the penilo-cavernosus reflex in circumcised men
|trans-title=
|language=
|journal=BJU Int
|location=
|date=2012-02
|volume=109
|issue=4
|article=
|page=
|pages=582-5
|url=https://www.i2researchhub.org/wp-content/uploads/storage/QJU4NH2E/Podnar-2012-BJU_International.pdf
|archived=
|quote=
|pubmedID=21883821
|pubmedCID=
|DOI=10.1111/j.1464-410X.2011.10364.x
|accessdate=2022-03-01
}}</ref>