KMID : 0356420030210020076
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Journal of Korean Andrology 2003 Volume.21 No. 2 p.76 ~ p.79
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Effects of Glans Penis Augmentation Using Hyaluronic Acid Gel for Premature Ejaculation
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Kwak Tae-Il
Jeon Byung-Gyu Bae Jae-Hyun Moon Du-Geon Kim Je-Jong
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Abstract
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Purpose: We evaluated the effect of injectable hyaluronic acid gel(HA) for augmentation of the glans penis and treatment of premature ejaculation.
Materials and Methods: In 139 patients with premature,ejaculation, dorsal neurectomy(Group I ; n=25) and dular augmentation using HA (Group II; n=114) were done. Six months after each procdure, atory latency, penile vibratory threhold, and patient and partner satisfaction were assessed in both groups.
Results: There was no significant difference in preoperative ejaculation time in the two groups, being 89.2 ¡¾40.3 sec in Group I and 96.5 ¡¾52.3 sec in Group II. Postoperatively, ejaculatory latency was significantly increased, to 235.6¡¾58.6 sec in Group I and 324.2 ¡¾107.6 sec in Group II(p<0.01). The postoperative vibratory threshold was also significantly increased in both groups(p<0.01). Satisfaction was expressed by both the patient and his partner in 68% (17/25) and 44% (11/25), respectively, in Group I and 79.8%(91/114) and 64.0% (73/114) in Group II. The maximal glandular girth was significantly increased, from 9.2 ¡¾0.6 cm to 11.0¡¾0.4 cm, in Group II.
Conclusions: Glandular augmentation with injectable HA gel appears to be very effective for the treatment of premature ejaculation. Glandular augmentation with a bulking agents is anticipated to replace the hazardous, irreversible dorsal neurectomy.
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KEYWORD
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Ejaculation, Hyaluronic acid, Glans penis, Augmentation
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