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About The Penis
Fig. 1. Intact adult penis |
This illustration represents an average normal adult human penis. The
head of the penis (glans) has a covering, called the foreskin (prepuce).
This covering folds in on itself, forming a double layer. The foreskin is
not a `flap' of skin on the end of the penis, and it is not
`useless' or `redundant' skin.
There is some natural variation in the length of the foreskin, which
often covers a bit more or less of the glans than illustrated.
In an average circumcised adult man, the area of skin that is missing
because of penile reduction surgery would, when erect and unfolded,
measure approximately three by five inches, or a little smaller than a
postcard. That is about half the total skin of the
penis. |
Structures of the penis
- The outer foreskin layer is a continuation of the skin of the
shaft of the penis.
- The inner foreskin layer is not just "skin," but
mucocutaneous tissue of a unique type found nowhere else on the body.
- The ridged band is the interface (join) between the outer and
inner foreskin layers. When the penis is not erect, it tightens to
narrow the foreskin opening. During erection, the ridged band forms
ridges that go all the way around, about halfway down the shaft.
- The reddish or purplish glans or glans penis (head of
the penis) is smooth, shiny, moist and extremely sensitive.
- The frenulum, or frenum, is a connecting membrane on
the underside of the penis, similar to that beneath the tongue.
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Fig. 2. Intact penis (hidden structures shown). |
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Fig. 3: Erection process: Intact penis
When fully retracted, the foreskin is designed to cover essentially the
entire penile shaft, yet is loose enough to "glide". The ridged bands are
situated about halfway down the shaft, when the foreskin is retracted
fully.
Note: In some cases, a man may have difficulty retracting the
foreskin. This is not an indication for circumcision, because there are
good alternative treatments available that preserve the structure and
function of the foreskin.
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Penile stimulation
The most important components of the physical erogenous stimulation of the
penis during foreplay and intercourse are the sensations from the foreskin,
frenulum/frenar band, and glans. These structures each have their own feeling,
and each contributes in its own way to the man's total experience of lovemaking.
It must be emphasized that emotional excitement is an extremely important
component of sexual enjoyment, and intensifies the man's perception of any
physical sensations from his penis.
- The foreskin has an inner and outer layer. The outer foreskin layer
contains nerve endings which respond to gentle touching during the early
stages of sexual arousal. This helps to trigger an erection. The nerves of the
inner and outer foreskin contribute to the experience of penile stimulation,
up to and including orgasm. These receptors are stimulated by stretching, or
when the foreskin rolls over the surface of the glans during intercourse or
masturbation.
- The foreskin contains sensory receptors called Meissner corpuscles.
We believe that these nerves, similar to nerve endings in the fingertips, are
there to provide pleasure, as well as fine sensory perception. This seems to
help a man to enjoy sex longer without ejaculating prematurely, because he can
more easily tell when he is approaching the threshold of orgasm.
- Stimulation of the frenulum and ridged band results in
intense pleasurable feelings during arousal. The ridged band consists of a
number of "ridges", described by Dr. John Taylor in his recent sensations
from these structures during intercourse or masturbation are thought to be the
primary trigger of orgasm in the intact male. Dr. George Denniston writes:
The ridged bands, which are like horseshoes only in that they
curve forward underneath toward the point where the frenulum attaches, can
be found in several pictures in John's paper. There are some 20 concentric
ridged bands which rub over the corona. Each ridge has Meissner's
corpuscles, which respond to pressure, and they produce the sexual pleasure
which no individual has a right to take away from another individual.
- We believe that stimulation of the glans is most significant in the
later stages of sexual intercourse, when penetration is deepest and emotions
are running at their highest. Sensations from the glans contribute to the
quality of the sensual experience. They are also apparently capable of
triggering orgasm on their own, as would be the case in a circumcised man.
Fig. 4. Circumcised adult penis |
Fig. 5. The circumcised penis: Erect state |
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Following circumcision, the foreskin of the penis has been cut away.
The surface of the glans has developed a thick, dry layer of keratin
(toughened skin), which makes it less sensitive to unwanted stimulation,
but also less sensitive to the more subtle qualities of lovemaking.
All circumcised men have an annular scar on the shaft of the penis. The
location of the scar varies, from near the head to far down the shaft. For
some men, so much skin has been removed that erection becomes difficult
and even painful. This was one of the most common complaints reported by
circumcised men in a recent poll. |
The gliding mechanism
During intercourse the loose skin of the intact penis slides up and
down the shaft of the penis, stimulating the glans and the sensitive
erogenous receptors of the foreskin itself. On the outstroke the glans is
partially or completely engulfed by the foreskin. This is known as the
`gliding mechanism.'
The gliding mechanism is Nature's intended mechanism of intercourse. As
such, it contributes greatly to sexual pleasure. Also, since more of the
loose skin of the penis remains inside the vagina, the woman's natural
lubrication is not drawn out to evaporate to a great extent, which makes
sex easier without using artificial lubricants.
The prepuce is a highly innervated and vascularized genital
structure. It is entirely lined with the peripenic muscle sheet.
Specialized ecoptic sebaceous glans on the inner preputial surface
produce natural emollients and lubricants necessary for normal sexual
function. The primary orgasmic triggers are found in the preputial
orifice and frenulum. When unfolded, the prepuce is large enough to
cover the length and circumference of the erect penis and acts as a
natural sheath through which the shaft glides during coitus. Only the
presence and functions of the prepuce allow for physiologically normal
coitus to occur as designed by nature. (Fleiss, Paul M;
Frederick Hodges. "Nontherapeutic Circumcision Should not be Performed,"
American Medical News, vol. 38, no. 26 (July 17, 1995): p. 16.) |
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Effects of penile reduction surgery (circumcision) on sexual
intercourse
Although still pleasurable for the man, intercourse without the participation
of the prepuce lacks the gliding mechanism. The only source of stimulation is
the glans rubbing against the wall of the vagina. The sensations from the
specialised receptors of the frenar band, frenulum and inner foreskin layer are
missing.
"With intravaginal containment of the normal penis, the male's
mobile sheath is placed within the woman's vaginal sheath. It is impossible to
imagine a better mechanical arrangement for non-abrasive stimulation of the
male and female genitalia than this slick 'sheath within a sheath.'
Circumcision destroys this one sheath within a sheath . . . I would hazard a
guess, that dyspareunia [painful intercourse] is more common in the women
whose husband is circumcised . . . one would be foolish to discount the
circumcised male's immobile penile skin sheath as an ancillary item
contributing to vaginal, abrasive discomfort . . . The male with a penis
already moderately obtunded by circumcision may be less apt to use a condom,
which he feels may further decrease his genital sensitivity . . . because most
American males lack a facile prepuce, the period of foreplay and dalliance may
be abbreviated in the rush to the intra-vaginal method of penile stimulation.
Both these factors conceivably could be of significance in increasing the rate
of venereal disease, including AIDS . . . " (Say No to
Circumcision! 40 Compelling Reasons Why You Should Respect His Birthright and
Leave Your Son Whole (2nd edition), by Thomas A. Ritter, MD, Hourglass Book
Publishing 1996)
If the surgery was performed on an infant, by adulthood a relatively thick
keratin layer will have formed on the normally skinless mucosal surface of the
glans, which further reduces the stimulation. If the circumcision was performed
as an adult, the keratin layer will form, and the sensitivity of the glans will
gradually be reduced over time.
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