Premature Ejaculation: When Denervation Is Ineffective / Dr. Cherepanov
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Urologist - Andrologist Denis Anatolyevich Cherepanov
https://drcherepanov.ru/
Premature ejaculation or premature ejaculation – intercourse lasts less than 2 minutes, but more uncomfortable situations can occur – 10 thrusts, 5 seconds…
Typically, diagnosis is limited to applying an anesthetic to the glans penis followed by intercourse. If intercourse prolongs, denervation is indicated: surgery to cut the nerves of the penis, which includes removal of the foreskin (circumcision) and excision of the frenulum of the penis – effective in 95% of cases. However, special situations do arise.
This patient had a longer journey:
Initially, the foreskin and frenulum were removed – no effect. Selective penile denervation was performed, prolonging sexual intercourse for 6 months.
Pullary nerve conductivity testing – neurodiagnostics.
Total penile nerve dissection – neurolysis.
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