[Selective resection of the branches of the two dorsal penile nerves for primary premature ejaculation].
OBJECTIVE
To evaluate the safety and effect of selective resection of the branches of the two dorsal penile nerves in the treatment of primary premature ejaculation (PPE).


METHODS
From September 2003 to December 2006, 483 PPE patients aged 21-71 years (mean 32) underwent selective resection of the branches of the two dorsal penile nerves, with only 2 of the branches reserved, 3 resected in 89 cases, 4 in 183, 5 in 125, 6 in 38, 7 in 32, 8 in 12, 9 in 3 and 10 in 1. The patients could have sexual intercourse 4 weeks after the operation and were followed up for 3-36 months.


RESULTS
No infection, hemorrhage and erectile dysfunction were observed. Decreased penile sensibility was noted in all the patients, obviously prolonged ejaculation latency in 352, improvement in 93 and failure in 38, with a total effectiveness rate of 92.13%.


CONCLUSIONS
Selective resection of the branches of the two dorsal penile nerves, which can definitely reduce the sensivity of the penis, is a safe and effective surgical option for the treatment of PPE.
Shi
Wen-Guo
WG
Department of Urology, Shenzhen Shuguang Hospital, Shenzhen, Guangdong 518001, China. wenguo2000@yahoo.com.cn
Wang
Xiao-Jun
XJ
Liang
Xiao-Qin
XQ
Liu
Zhi-Qiang
ZQ
Huang
Man-Jun
MJ
Li
Shu-Qing
SQ
Ren
Shan-Qing
SQ
Cao
Lin
L
Meng
Xing
X
Wang
Zhong
Z
Chen
Rui-Song
RS
D000328:Adult; D000368:Aged; D003714:Denervation / Q000379:methods*; D004542:Ejaculation; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000294:innervation*; D012735:Sexual Dysfunction, Physiological / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult