1679 A NOVEL TREATMENT MODALITY IN PATIENTS WITH PREMATURE EJECULATION RESISTANT TO CONVENTIONAL METHODS: THE NEUROMODULATION OF DORSAL PENILE NERVES BY PULSED RADIOFREQUENCY

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Medical and Non-Surgical Therapy1 Apr 20111679 A NOVEL TREATMENT MODALITY IN PATIENTS WITH PREMATURE EJECULATION RESISTANT TO CONVENTIONAL METHODS: THE NEUROMODULATION OF DORSAL PENILE NERVES BY PULSED RADIOFREQUENCY Seref Basal, Serdar Goktas, Atilla Ergin, Ibrahim Yildirim, Abdulkadir Atim, Lutfu Tahmaz, and Murat Dayanc Seref BasalSeref Basal Ankara, Turkey More articles by this author , Serdar GoktasSerdar Goktas Ankara, Turkey More articles by this author , Atilla ErginAtilla Ergin Ankara, Turkey More articles by this author , Ibrahim YildirimIbrahim Yildirim Ankara, Turkey More articles by this author , Abdulkadir AtimAbdulkadir Atim Ankara, Turkey More articles by this author , Lutfu TahmazLutfu Tahmaz Ankara, Turkey More articles by this author , and Murat DayancMurat Dayanc Ankara, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1833AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Premature ejaculation (PE) is the most common sexual problem experienced by men,and affecting 20%–30% of them. Pulsed radiofrequency (PRF) neuromodulation has been shown to be an ffective treatment for a wide range of pain conditions. We used PRF to treat PE by desensitizing dorsal penile nerves in patients resistant to conventional treatments. METHODS Fifteen patients with a lifelong history of PE were defined as an intravaginal ejaculatory latency time (IELT) of <1 min and resistant to conventional treatments were enrolled in this study. The mean age of the patients was 39±9 years. Before and 3 weeks after the treatment, IELT and sexual satisfaction scores (SSS) (for patients and their partners) were obtained. RESULTS The mean IELT before and 3 weeks after procedure were 18.5±17.9 and 139.9±55.1 seconds, respectively. Any side effects did not occur. Mean SSS of patients before and after treatment were 1.3±0.3 and 4.6±0.5 and mean SSS of partners before and after treatment were 1.3±0.4 and 4.4±0.5 respectively. In all cases, IELT and SSS were significantly increased (p<0.05). None of the patients and their wives defined any treatment failure during the followup period. The mean follow-up time was 8.3±1.9 months. CONCLUSIONS It is early to conclude that this new treatment modality might be used widely for the treatment of PE, however being an innovative modality, placebo controlled studies (e.g. sham procedure), with larger number of patients, including assessment of penil sensitivity (e.g. biothesiometry) are needed. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e675 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Seref Basal Ankara, Turkey More articles by this author Serdar Goktas Ankara, Turkey More articles by this author Atilla Ergin Ankara, Turkey More articles by this author Ibrahim Yildirim Ankara, Turkey More articles by this author Abdulkadir Atim Ankara, Turkey More articles by this author Lutfu Tahmaz Ankara, Turkey More articles by this author Murat Dayanc Ankara, Turkey More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...