Selective resection of the branches of the two dorsal penile nerves for primary premature ejaculation.
- Author:
Wen-Guo SHI
1
;
Xiao-Jun WANG
;
Xiao-Qin LIANG
;
Zhi-Qiang LIU
;
Man-Jun HUANG
;
Shu-Qing LI
;
Shan-Qing REN
;
Lin CAO
;
Xing MENG
;
Zhong WANG
;
Rui-Song CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Denervation; methods; Ejaculation; Follow-Up Studies; Humans; Male; Middle Aged; Penis; innervation; Sexual Dysfunction, Physiological; physiopathology; surgery; Treatment Outcome; Young Adult
- From: National Journal of Andrology 2008;14(5):436-438
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the safety and effect of selective resection of the branches of the two dorsal penile nerves in the treatment of primary premature ejaculation (PPE).
METHODSFrom September 2003 to December 2006, 483 PPE patients aged 21-71 years (mean 32) underwent selective resection of the branches of the two dorsal penile nerves, with only 2 of the branches reserved, 3 resected in 89 cases, 4 in 183, 5 in 125, 6 in 38, 7 in 32, 8 in 12, 9 in 3 and 10 in 1. The patients could have sexual intercourse 4 weeks after the operation and were followed up for 3-36 months.
RESULTSNo infection, hemorrhage and erectile dysfunction were observed. Decreased penile sensibility was noted in all the patients, obviously prolonged ejaculation latency in 352, improvement in 93 and failure in 38, with a total effectiveness rate of 92.13%.
CONCLUSIONSelective resection of the branches of the two dorsal penile nerves, which can definitely reduce the sensivity of the penis, is a safe and effective surgical option for the treatment of PPE.