Articles that met the inclusion criteria were rated for quality using the SIGN system. Database searches identified 29 publications with original data for inclusion, including 22 for aim i and 4 of these and 7 others pertaining to aim ii. In the overwhelming majority of studies, women expressed a preference for the circumcised penis. The main reasons given for this preference were better appearance, better hygiene, reduced risk of infection, and enhanced sexual activity, including vaginal intercourse, manual stimulation, and fellatio.
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