title: Patients affected by premature ejaculation due to glans hypersensitivity refuse circumcision as a potential definite treatment for their problem.
abstract: The diagnosis of premature ejaculation (PE) was based on a score > 8 at the PEDT five-item questionnaire. Local anaesthetic treatment (LAT) was the first-line therapy. Subjects who obtained a normalisation of EPDT score (≤8) were considered responders to LAT and even affected by lifelong PE due glans hypersensitivity. We proposed to patients not completely satisfied with LAT to undergo circumcision as a potential definitive treatment for PE. All patients received exhaustive information about potential benefits, limitations and complications. In case of refusal, each man was asked for the reasons of his choice. A total of 152 patients were recruited. Hundred and twenty-four patients among 152 (81.6%) positively responded to LAT. Among the 124 LAT responders, 21 (17%) were completely satisfied. The remaining 103 men experienced adverse reactions. It was proposed to such patients if they would be interested to a definitive form of treatment to resolve their problem. All the patients responded positively to this question. Only four patients among them (3.9%) accepted. The remaining 99 (96.1%) refused providing the following reasons of their choice: absence of guarantees 82.8%; irreversibility of the procedure creating a permanent body alteration 75.7%; costs of the procedure 12.1%; fear of potential complications 7%.
authors.affiliation: Studio Urologico Gallo, Naples, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Gallo
mesh_terms: D000328:Adult; D000779:Anesthetics, Local / Q000627:therapeutic use; D002944:Circumcision, Male; D006801:Humans; D006967:Hypersensitivity / Q000150:complications; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D010413:Penis / Q000276:immunology; D061686:Premature Ejaculation / Q000188:drug therapy / Q000628:therapy*; D011318:Prilocaine / Q000627:therapeutic use; D012735:Sexual Dysfunction, Physiological / Q000628:therapy*
chemical_list: D000779:Anesthetics, Local; D011318:Prilocaine; D008012:Lidocaine
keywords: Circumcision; glans hypersensitivity; local anaesthetic; premature ejaculation