The Partial Neurectomy of the Dorsal Nerve of the Penis for Patient with Premature Ejaculation.
- Author:
Hyung Sang YOU
1
Author Information
1. You's Clinic for Urology, Anyang, Korea. yhs@youuro.co.kr
- Publication Type:Original Article
- Keywords:
Partial neurectomy of the dorsal nerve;
Glans hypersensitivity;
Premature ejaculation
- MeSH:
Edema;
Ejaculation;
Follow-Up Studies;
Humans;
Hypersensitivity;
Male;
Penis*;
Postoperative Complications;
Premature Ejaculation*;
Vibration;
Wounds and Injuries
- From:Korean Journal of Andrology
2000;18(2):143-148
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: A clinical review was performed to evaluate the effectiveness of the partial neurectomy of the dorsal nerve of the penis on the treatment of premature ejaculation. PATIENTS AND METHODS: The study was made on 143 patients with premature ejaculation (mean age 38 years; range 22~53 years) who underwent the partial neurectomy of the dorsal nerve of the penis from January 1997 to September 1999. All patients were evaluated by change on pre- and post-operative ejaculatory latency and biothesiometry, postoperative satisfaction, management on unsatisfactory patients and postoperative complication. RESULTS: Pre- and post-operative vibration perception threshold of glans penis on biothesiometry was significantly decreased from mean 2~3 mA (range 1~6 mA) to 8~10 mA (range 3~15 mA) (p<0.01). Change on pre- and post-operative ejaculatory latency was prolonged from mean 1~3 minutes (55.2%) to 5~10 minutes (47.6%)(p<0.01). The postoperative results were satisfactory in 117 cases (81.8%). At follow-up 2 to 34 months postoperatively, 17 cases (11.8%) were complicated by glans pain, discomfort(7 cases), penile edema (6 cases), wound dehiscence(3 cases), and delayed ejaculation (1 case). CONCLUSION: The partial neurectomy of the dorsal nerve of the penis is an effective treatment in the comprehensive management of the premature ejaculation with glans hypersensitivity, for good results, a simple operative technique and a few postoperative complication. However, it must be followed up for long-term effectiveness and its complication.
