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Dorsal penile nerves and primary premature ejaculation.
Hai-Feng Zhang1, Chun-Ying Zhang, Xing-Hua Li
1Department of Urology, Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150086, China.
Patients with primary premature ejaculation (PPE) have a higher average number of dorsal penile nerves (7.16 branches) compared to healthy individuals (3.55 branches). This suggests excessive dorsal penile nerves may increase sensitivity, impacting PPE.
Area of Science:
- Anatomy
- Urology
- Sexual Health
Background:
- Clinical observations suggest variations in dorsal penile nerve counts in patients with primary premature ejaculation (PPE).
- The typical number of dorsal penile nerve branches is considered to be two.
Purpose of the Study:
- To evaluate the number and distribution of dorsal penile nerves in healthy Chinese adults.
- To compare nerve counts between healthy individuals and patients diagnosed with PPE.
Main Methods:
- Autopsy examination of 38 adult specimens to count dorsal penile nerve branches.
- Surgical assessment of dorsal penile nerve distribution in 128 patients with PPE.
Main Results:
- The average number of dorsal penile nerves in autopsy specimens was 3.55 branches.
- In patients with PPE, the average number of dorsal penile nerve branches was significantly higher at 7.16.
- Nerve distribution patterns varied, with most branches located dorsally, but some communicating or ventrally extending branches were noted.
Conclusions:
- The average number of dorsal penile nerves is higher in patients with PPE than in healthy individuals.
- Excessive dorsal penile nerves may contribute to PPE by increasing penile sensitivity.
- Findings provide topographic data relevant for potential PPE treatments.
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