Het mannelijk seksueel functioneren na een besnijdenis

Kevin Petré
De mannelijke besnijdenis is één van de meest frequente uitgevoerde chirurgische ingrepen ter wereld. Wereldwijd worden mannen besneden o.w.v. religieuze, culturele, medische, persoonlijke redenen. De besnijdenis wordt beschouwd als een eenvoudige en snelle operatie, en biedt bescherming tegen HIV en SOA’s.
Seksuele intimiteit en orgasme worden beschouwd als belangrijke elementen van persoonlijk welzijn en gezondheid. Seksuele disfunctie kan leiden tot een verminderd zelfbeeld en disfunctionele relaties.
Om meer inzicht te hebben m.b.t. de controverse ga ik me verdiepen in de meest recente en beschikbare literatuur met de nadruk op: sexual desire, dyspareunie, vroegtijdige ejaculatie (PE), ejaculatie-latentietijd en erectiestoornissen (ED's) (die mogelijks kunnen optreden na besnijdenis).

Het mannelijk seksueel functioneren na besnijdenis: Een systematische literatuurstudie

Inleiding

De World Health Organization (WHO) en de Verenigde Naties schatten dat ~ 30% van de mannen  wereldwijd besneden zijn, en dat voornamelijk in Azië, het Midden-Oosten en Noord-Afrika (World Health Organization & UNAIDS, 2007). Een besnijdenis wordt uitgevoerd omwille van culturele, religieuze en medische redenen, zoals infecties, abnormaliteiten. Toch is er niet veel bekend over het effect van een circumcisie op het seksueel functioneren.

Methoden

Een systematisch literatuuronderzoek werd uitgevoerd. Combinaties van zoektermen werden gebruikt, die rekening hielden met de DSM-V classificatie voor seksuele disfuncties, de seksuele responscyclus van Masters en Johnson, en de toevoeging  van ‘verlangen’ door Kaplan.

Resultaten

De zoekopdrachten in de databanken Pubmed, Embase en Web Of Science identificeerden 1203 artikelen waarvan er uiteindelijk 43 werden geselecteerd. De IIEF, de BMSFI en de IELT zijn de meest gebruikte meetinstrumenten. In 19 artikelen werd het seksueel functioneren ‘voor’ en ‘na’ de eigenlijke ingreep (operatie) op een prospectieve manier met elkaar vergeleken.

Discussie

Onderzoek naar de invloed van besnijdenis op het mannelijk seksueel functioneren is niet eenduidig: sommige studies melden dat een besnijdenis het seksuele functioneren negatief beïnvloedt, terwijl andere studies erop wijzen dat het seksueel functioneren niet nadelig beïnvloed wordt door een besnijdenis, en enkele onderzoeken melden dat het seksueel functioneren verbetert bij een besnijdenis.

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Universiteit of Hogeschool
Master of Science in de Seksuologie
Publicatiejaar
2019
Promotor(en)
Prof. Dr. Albersen Maarten
Kernwoorden
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