Hi Sir/Madam Welcome to Health Care Magic I can certainly understand your concern and worry about your problem... Removal of foreskin doesn t affect sexual satisfaction....Instead it helps in increasing sensitivity. Probably the surgery could be circumcision....Which helps in increasing satisfaction... So try not to worry and associate your problem to that operation....It seems that you are apprehending towards erection problem ...I would advise you to try some natural methods like getting relaxed before sex, avoid smoking and alcohol if any, perform some pelvic exercises....And you can start some antianxiety drugs SSRIs like escitalopram... Even then if you doesn t find any response you can start sildenafil...For nitric oxide ie NO,...Which increases your sexual stimulation Post your further questions if any, I will available to take up your follow up questions Thank you