Objectives: To evaluate the safety and effectiveness of penile
dorsal nerve neurotomy in patients with premature ejaculation.
Methods: From November 2008 to March 2011, 146
outpatients received penile dorsal nerve neurotomy for treating
premature ejaculation (PE), during which two main nerves
were retained and the remaining branches were removed. The
patients started sexual activities four weeks after surgery and
were followed up for 2 months to 2 years. The intravagina
ejaculation latency and the satisfaction degree of intercourse
before and after operation were assessed using vibration
sensory threshold (VPT) test.
Results: VPT reached normal range in most cases, along with
remarkably prolonged intravaginal ejaculatory latency time
(IELT) and improved coitus satisfaction degree. Finally 75 cases
were cured, 34 cases improved, and 37 cases ineffective, yielding
a total effective rate of 74.7%. No wound infection, bleeding, or
erectile dysfunction was reported during follow-up.
Conclusions: VPT is a non-invasive, objective, and safe
approach for dorsal penile nerve sensory detection. Penile dorsal
nerve neurotomy can extend IELT and raise coitus satisfaction
degree, and therefore can be applied for treating premature