【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。更多还原

【Abstract】 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 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%.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.更多还原