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}}</ref> His article and the ones of the following years failed to give detailed information on the patient's motivation, and the authors were to a certain extent criticized for performing such a procedure at all.
In 1981, [[Paul C. Mohl ]] presented the first detailed analysis of psychiatric aspects in a group of eight patients seeking prepuce restoration. He described several psychological disorders in these patients as narcissistic and exhibitionistic body image, depressions, major defects in early mothering, and ego pathology. Nowadays the understanding of the psychological motivations for uncircumcision is increasing, and the problem is dealt with more seriously.<ref name="watson2017" />
In 1963 Penn from Johannesburg, after performing a proximal circular incision and pulling forward the [[penile skin]] to form a new [[prepuce]], covered the denuded shaft with a "free graft", not indicating from where he took this graft.<ref name="penn1963" />
|first2=Paul C.
|init2=PC
|author2-link=Paul C. Mohl
|last3=Sheley
|first3=Kathy M.