Advances in the surgical treatment of premature ejaculation.
- Author:
Wen-Tao GONG
1
;
Qing-Qiang GAO
2
;
Zhi-Peng XU
2
;
Yu-Tian DAI
2
Author Information
1. Nanjing University School of Medicine, Nanjing, Jiangsu 210093, China.
2. Department of Andrology, Nanjing Drum Tower Hospital, Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.
- Publication Type:Journal Article
- Keywords:
effectiveness;
safety;
selective dorsal neurectomy;
surgical treatment;
premature ejaculation
- MeSH:
Behavior Therapy;
China;
Conservative Treatment;
Ejaculation;
Humans;
Male;
Premature Ejaculation;
drug therapy;
surgery;
Quality of Life;
Recurrence;
Sexual Partners
- From:
National Journal of Andrology
2018;24(4):364-369
- CountryChina
- Language:Chinese
-
Abstract:
Premature ejaculation (PE) is a most common type of ejaculatory dysfunction, which has significant adverse effects on the life quality of the patients and their partners. Medication is currently the first choice for PE and psycho-behavior therapy is sometimes used as an adjuvant means. It is reported in a number of studies that medication alone or combined with psycho-behavior therapy has a great short-term efficacy and a very low risk of side effects. Conservative therapies for PE, however, have some obvious disadvantages such as easy recurrence after drug withdrawal, ineffectiveness in some cases, and so on. Thus, clinicians in China and abroad have developed and tried various surgical methods for the treatment of PE, most of which are reportedly safe and effective. However, International Society for Sexual Medicine guidelines for the diagnosis and treatment of PE recommended against surgical methods because of possible permanent loss of sexual function and insufficient reliable data, though without support from evidence or relevant literature. Although controversial, surgical treatment remains an effective and feasible strategy for refractory PE that does not respond to any conservative therapies. This review summarizes a variety of surgical techniques for PE, along with their basic principles, indications, effects and safety.
