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'''Lower clinical neurophysiological elicitability of the penilo-cavernosus reflex''' is classified as a late [[complication]] of [[circumcision]] by Iacob et al. (2021).<ref name="iacob2021">{{REFjournal
|last=Iacob
|first3=Lauren
|init3=L
|author3-link=Lauren Sardi
|title=Systematic review of complications arising from male circumcision
|journal=BJUI Compass
|format=PDF
|accessdate=2022-03-01
}}</ref> This classification was based on the work of [[Simon Podhar Podnar]] 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 name="podnar2012">{{REFjournal
|last=Podnar
|first=Simon
|init=
|author-link=Simon Podnar
|etal=no
|title=Clinical elicitation of the penilo-cavernosus reflex in circumcised men
}}</ref>
The bulbocavernosus reflex has been found to be delayed or absent at a higher rate than the general population of [[intact]] men in diabetic men with complaints of erectile impotence, and men whose penises have been [[circumcised or ]], and in [[intact ]] men who have permanent retraction of the [[foreskin]] behind the [[glans penis]].<ref name="podnar2012" />
Podnar cited previous research in explaining his findings. Among other works, Taylor et al. (1996) carried out a histological study of the [[foreskin ]] which found large numbers of [[Meissner's corpuscles]] arranged in a [[ridged band]].<ref name="taylor1996">{{TaylorJR LockwoodAP TaylorAJ 1996}}</ref> and Sorrells et al. (2007) carried out a study of the fine-touch pressure thresholds on the human [[penis ]] and found that the most sensitive areas are all on the [[foreskin.)<ref name="sorrells2007">{{Sorrells etal 2007}}</ref> Men who have suffered the loss of their [[foreskin]] to [[amputation]] and men whose foreskin has been desensitized by permanent retraction evidently are unable to sense the stimulation necessary to trigger the penilo-cavernosus reflex.<ref name="podnar2012" /> {{Citation |Title=Clinical elicitation of the penilo-cavernosus reflex in circumcised men |Text=The findings presented in this study might also explain the possible difference in sexual function between these two groups of men. |Author=Simon Podnar |Source=BJU Int |ref=<ref name="podnar2012" />}} Podnar's study highlights the importance of the sensory input from the nerves of the [[foreskin]] in the regulation of physiological functions through the autonomic nervous system.
{{SEEALSO}}
* [[Foreskin sensitivity]]
* [[Sexual effects of circumcision]]
{{REF}}
[[Category:Circumcision complication]]
[[Category:Circumcision complication]]
[[Category:Foreskin anatomy]]
[[Category:Male genital mutilation]]
[[Category:Penile function]]
  [[Categoryde:Male genital mutilationGeringere klinische neurophysiologische Auslösbarkeit des Penilo-cavernosus-Reflexes]]
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