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Published on: March 15, 2024
[Elective microscopic resection of dorsal penile nerves for primary premature ejaculation: a clinical observation]
Xiang-Ju Zhou1, Zhi-Guo Zhang2, Lin Hao2
1Department of Urology, Xuzhou Central Hospital Affiliated to Southeast University, Xuzhou, Jiangsu 221009, China. 15351687063@189.cn
Objective:
To evaluate the effect of elective microscopic resection of dorsal penile nerves in the treatment of primary premature ejaculation (PPE).
Methods:
Seventy-eight PPE patients received elective microscopic resection of dorsal penile nerves, 5 branches in 9 cases, 6 in 17, 7 in 15, 8 in 14, 9 in 8, 10 in 6, 11 in 6, and 12 in 3. The patients were followed up for 12 months, and their intravaginal ejaculation latency time (IELT) and sexual intercourse satisfaction scores were recorded before and after treatment.
Results:
Compared with the baseline, the IELT was significantly prolonged after surgery ([0.86 +/- 0.32] vs [6.65 +/- 3.9] min, P < 0.01), and the sexual intercourse satisfaction scores of the patients were dramatically increased (7.32 +/- 2.52 vs 12.32 +/- 3.76, P < 0.01), so were those of their sexual partners (4.46 +/- 1.36 vs 12.73 +/- 1.45, P < 0.01).
Conclusion:
Elective microscopic resection of dorsal penile nerves is safe and effective for the treatment of PPE.

