title: [Penile frenulum lengthening for premature ejaculation].
abstract: OBJECTIVE
  To evaluate the effect of penile frenulum lengthening in the treatment of premature ejaculation (PE).
  
  
  METHODS
  Thirty-four males with PE were enrolled in this study, of whom 8 had received circumcision six months before and 4 had redundant prepuce, all with short frenulum. Those with a history of circumcision underwent reconstruction and lengthening of the frenulum, and those without received frenulum lengthening only.
  
  
  RESULTS
  Compared with the baseline, the intravaginal ejaculation latency time (IELT) was significantly increased at 1 month after operation ([1.35 ± 0.49] vs [5.71 ± 2.69] min, t = -9.42, P <0.01), (1.42 ± 0.5) vs (5.31 ± 2.74) min in the patients without circumcision (t = -7.41, P <0.01), (1.12 ± 0.35) vs (7.00 ± 2.20) min in those with circumcision (t = -7.24, P <0.01), and (1.50 ± 0.58) vs (4.75 ± 1.71) min in those with redundant prepuce (t = -3.81, P <0.05). Totally, 94% of the patients were satisfied with their sexual intercourse postoperatively.
  
  
  CONCLUSIONS
  Penile frenulum plays an important role in penile erection. Reconstruction and/or lengthening of the frenulum can prolong penile erection and IELT in PE patients.
authors: Bo
authors: B
authors: Song
authors: Zhen-hui
authors: ZH
authors: Hou
authors: Qun-long
authors: QL
authors: Liu
authors: Wei-ping
authors: WP
authors: Qian
mesh_terms: D000328:Adult; D002944:Circumcision, Male / Q000534:rehabilitation*; D003075:Coitus; D004542:Ejaculation; D052816:Foreskin / Q000601:surgery*; D006801:Humans; D008297:Male; D010410:Penile Erection; D061686:Premature Ejaculation / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods