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KMID : 0356420000180020143
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Journal of Korean Andrology
2000 Volume.18 No. 2 p.143 ~ p.148
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The Partial Neurectomy of the Dorsal Nerve of the Penis for Patient with Premature Ejaculation
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You Hyung-Sang
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Abstract
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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 jaculatory latency was prolonged from mean 1∼3 minites (55.2%) to 5∼10 minites (47.6%) (p<0.01). The postoperative results were satisfactory in 117 cases 981.8%). At follow-up 2 to 34 months postoperatively, 17 cases (11.8%) were complicated by glans pain, scomfort (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 omplication. However, it must be followed up for long-term effectiveness and its complication.
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KEYWORD
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Partial neurectomy of the dorsal nerve, Glans hypersensitivity, Premature ejaculation,
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