Changes

How one masturbates depends on whether one has an [[intact]], internally-lubricated, movable erogenous [[foreskin]] that [[gliding action| glides]] up and down the shaft of the [[penis]] or whether one has been [[circumcised]] and has restricted skin mobility.

In all cases [of masturbation] circumcision is undoubtedly the physicians' closest friend and ally ... To obtain the best results one must cut away enough [[skin]] and [[Mucosa| mucous membrane]] to rather put it on the stretch when erections come later. There must be no play in the [[skin]] after the wound has thoroughly healed, but it must fit tightly over the [[penis]], for should there be any play the patient will be found to readily resume his practice, not begrudging the time and extra energy required to produce the orgasm. It is true, however, that the longer it takes to have an orgasm, the less frequently it will be attempted, consequently the greater the benefit gained ... The younger the patient operated upon the more pronounced the benefit, though occasionally we find patients who were [[circumcised]] before puberty that require a resection of the [[skin]], as it has grown loose and pliant after that epoch.<ref name="spratling1895">{{REFjournal