E-ISSN : 2757-7163
Materials and Methods: A total of 84 male individuals who had undergone circumcision during the phallic stage were included in the study. Participants were divided into two groups based on the anesthesia type administered during the procedure: Group 1 received general anesthesia, while Group 2 received local anesthesia. Sociodemographic characteristics, including age, marital status, and educational background, were recorded. Additionally, body mass index (BMI), age at circumcision, indications for the procedure, and post-circumcision complications were analyzed. Each participant was assessed using the Beck Depression Inventory (BDI), the International Index of Erectile Function (IIEF-15), and the Male Genital Self-Image Scale (MGSIS-7).
Results: The mean age of participants did not differ significantly between groups (p> 0.05). Similarly, there were no significant intergroup differences in terms of circumcision age, BMI, indication for the procedure, or complication rates (p> 0.05). Moreover, IIEF-15 and BDI scores also showed no statistical differences between the two groups (p> 0.05). However, the mean MGSIS-7 score was significantly lower in the local anesthesia group compared to the general anesthesia group (p <0.0001), indicating a less positive genital self-image among those circumcised under local anesthesia.
Conclusion: Circumcision performed under local anesthesia during the phallic stage may be associated with a more negative adult male genital self-image compared to procedures performed under general anesthesia. These findings highlight the potential psychological impact of anesthesia type during this sensitive developmental period and warrant further investigation.
