Author/Editor		Podnar, Simon
Title		Clinical elicitation of the penilo-cavernosus reflex in circumcised men
Type		članek
Source		BJU Int
Vol. and No.		Letnik 109, št. 4
Publication year		2012
Volume		str. 582-5
Language		eng
Abstract		Objective: To test clinical observations that the penilo-cavernosus reflex is much more difficult to elicit in circumcised men. Patients and methods: Men consecutively referred for uro-neurological or uro-neurophysiological examination were prospectively included. * Those with possible sacral neuropathic lesions were excluded. A history was obtained, and a clinical neurological examination was performed. The penilo-cavernosus reflex was tested clinically and neurophysiologically using electrical and mechanical stimulation. * Reflex elicitability scores in groups of circumcised men, men with foreskin retraction and a control group of uncircumcised men were compared using the Mann-Whitney U test. Results: The reflex was clinically non-elicitable in 73%, 64% and 8% of 30 circumcised men, 15 men with foreskin retraction, and 29 control men, respectively. * The scored reflex elicitability was significantly (P < 0.001) higher in control men than in the other two groups clinically, but not neurophysiologically. Conclusions: The study confirmed the lower clinical and similar neurophysiological elicitability of the penilo-cavernosus reflex in circumcised men and in men with foreskin retraction. This finding needs to be taken into account by urologists and other clinicians in daily clinical practice.
Descriptors		CIRCUMCISION PENIS REFLEX LUMBOSACRAL PLEXUS ELECTRIC STIMULATION PHYSICAL STIMULATION NERVOUS SYSTEM DISEASES