Surgery is not indicated for the treatment of premature ejaculation

被引:10
作者
Anaissie, James [1 ]
Yafi, Faysal A. [1 ]
Hellstrom, Wayne J. G. [1 ]
机构
[1] Tulane Univ, Sch Med, Dept Urol, New Orleans, LA 70112 USA
关键词
Premature ejaculation (PE); neurectomy; penis augmentation; circumcision; erectile dysfunction (ED); HYALURONIC-ACID GEL; PLACEBO-CONTROLLED CROSSOVER; DOUBLE-BLIND; SEXUAL SATISFACTION; PENIS; CIRCUMCISION; PAROXETINE; EFFICACY; HYDROCHLORIDE; MULTICENTER;
D O I
10.21037/tau.2016.03.10
中图分类号
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
摘要
Premature ejaculation (PE) is considered the most common male sexual disorder, affecting up to 75% of men at some point in their lives. While medical management is the mainstay of therapy, surgical options such as dorsal nerve neurectomy (DNN), hyaluronic acid (HA) gel glans penis augmentation, and circumcision have been studied as alternative forms of treatment. Preliminary studies have suggested that DNN and HA gel glans penis augmentation are relatively safe and effective, but due to a lack of large, multicenter, randomized-control trials with long-term follow-up, the International Society of Sexual Medicine (ISSM) has been unable to endorse DNN or HA gel glans penis augmentation as options in the treatment of PE. Conflicting data regarding the efficacy and safety of circumcision has similarly led to its exclusion from ISSM recommendations for the treatment of PE. Ethical concerns, particularly the fundamental concept of non-maleficence, are also barriers to the implementation of surgery for PE.
引用
收藏
页码:607 / 612
页数:6
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