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May 19, 1993

The Foreskin

JAMA. 1993;269(19):2508. doi:10.1001/jama.1993.03500190050032

To the Editor.  —We appreciate the book review by Cromie and Kelleher1 of The Joy of Uncircumcising: Restore Your Birthright and Maximize Sexual Pleasure and Say No to Circumcision: 40 Compelling Reasons Why You Should Respect His Birthright and Keep Your Son Whole and believe it is important for physicians to read them to learn why thousands of men are dissatisfied with being circumcised. The main reason is a loss of sexual pleasure.Foreskin contains erogenous tissue with a high concentration of sensitive nerves. According to Dr Ritter, it comprises more than one third of the skin on the penile shaft, about 12 sq in for the average male. During erection part of the foreskin shifts to cover the upper shaft of the penis, a location that would contact the vaginal wall during intercourse and ease penetration. The penile shaft is designed to be loose not taut at erection,