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}}</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.<refname="podnar2012">{{REFjournal
|last=Podnar
|first=Simon
}}</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 in intact men who have permanent retraction of the [[foreskin]] behind the [[glans penis]].<ref name="podnar2012" />
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