摘要
目的:评价选择性阴茎背神经分支切断术治疗原发性早泄(PPE)的安全性和有效性。方法:2003年9月～2006年12月,对483例PPE实施了选择性阴茎背神经分支切断术,患者年龄21～71岁,平均32岁。术中保留两条分支,其余分支均予以切除。切除分支3支者89例,4支者183例,5支者125例,6支者38例,7支者32例,8支者12例,9支者3例,10支者1例。手术后4周开始性生活,随访3～36月。结果:术后所有病例阴茎敏感性均下降,射精潜伏期延长显效352例,好转93例,无效38例,总有效率92.13%。无切口感染,无切口出血,无勃起功能障碍。结论:选择性阴茎背神经切断术致阴茎敏感性下降效果确切,治疗PPE安全、有效。
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 penilel 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 in- tereourse 4 weeks after the operation and were followed up for 3-36 months. Results ： No infection, hemorrhage and erectile dysfunc- tion 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%. Conclusion ： Selective resection of the branches of the two dorsal penile nerves, which can defeinitely reduce the sensivity of the penis, is a safe and effective surgical option for the treatment of PPE.
出处
《中华男科学杂志》
CAS
CSCD
2008年第5期436-438,共3页
National Journal of Andrology
关键词
早泄
原发性
阴茎背神经
切断术
选择性
primary premature ejaculation
dorsal penile nerve
selective resection
作者简介
施问国（1969-），男，江苏滨海县人，主治医师，医学学士，从事泌尿外科、男科学临床工作。E-mail：wenguo2000@yahoo.com.cn
