Experience using selective coagulation nerve branches nervus dorsalis penis in complex therapy premature ejaculation in men

Abstract

The aim of the study: to assess the effectiveness of treatment of premature ejaculation using the minimally invasive method of selective coagulation of the nerve branches n. dorsalis penis (fallonevroramidorzo coagulation) together with the subsequent adaptation therapy. Materials and methods. Under the outpatient and inpatient were examined 343 sexually active men with the syndrome of premature ejaculation. Of them were operated on 172 (50.1 per cent) of the face. The average age of patients amounted to 34.5±2.4 years. Before treatment patients had a diagnosis of premature ejaculation, according to conventional classification they were distributed as follows: еjaculatio praecox relative 91 (52,9%) patients, еjaculatio praecox absoluta 76 (44,2%) and еjaculatio ante portas 5 (2,9%) surveyed. Results. Changes of the clinical picture of the disease in the minimally invasive treatment by means of selective coagulation of the nerve branches n. dorsalis penis (fallonevroramidorzo coagulation) together with the subsequent adaptation of the treatment was analyzed after 3 months. Sex life returned to normal in 143 (82,3%) patients, improved in 18 (10,5%) patients, the clinical efficacy of treatment amounted to 92.5%. 11 (6,4%) patients the improvement is not marked. Conclusion. The use of minimally invasive method of selective coagulation of the nerve branches n. dorsalis penis (fallonevroramidorzo coagulation) together with the subsequent adaptation of therapy in the treatment of premature ejaculation is highly effective. Clinical efficacy amounted to 92.5%. The obtained results allow recommending the use in the treatment of men with premature ejaculation.