Clinical Implications of a Close Vicinity of Nervus Dorsalis Penis/Clitoridis and Os Pubis

Šedý, Jiří; Naňka, Ondřej; Špačková, Jana; Jarolı́m, L

doi:10.1111/j.1743-6109.2008.00796.x

Cited by 16 publications

(7 citation statements)

References 73 publications

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“…However, it has been suggested that frequent stimulation of the dorsal nerve of the root of the penis, which is necessary for normal erection and ejaculation, somewhat reduces penile sensitivity and central excitability, which may help improve the ejaculation threshold and prolong IELT, thereby effectively treating PE (29,30).…”

Section: Discussionmentioning

confidence: 99%

Regular penis-root masturbation: a promising behavioral treatment method for lifelong premature ejaculation

Memik¹,

Voyvoda²,

Üstüner³

et al. 2023

Preprint

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Purpose Premature ejaculation (PE) is a common male sexual dysfunction. Various treatments have been proposed for PE, including pharmacotherapy, behavioral therapy (BT), and combined BT and pharmacotherapy. Although pharmacotherapy is accepted as the first-line treatment for lifelong PE, high rates of discontinuation occur due to variable efficacy and side effects. In this study, the efficacy of penis-root masturbation (PRM), a newly described BT technique, was investigated in patients in whom medical treatment for PE was not successful. Material and Methods The study included 35 patients aged 25-43 years, who were diagnosed with lifelong PE. Patients and their partners were informed about the PRM technique and asked to practice PRM three times a week for three months, with or without sexual intercourse. The patients' Premature Ejaculation Diagnostic Tool (PEDT) scores and intravaginal ejaculatory latency time (IELT) were recorded and compared before PRM training (T0) and at the third (T3) month after the start of PRM training. Results The mean±SD PEDT scores were 16.26±1.94 at T0, 10.63±1.14 at T3. When compared to T0, the PEDT values at T3 were significantly lower (p=0.021). In terms of IELT, the mean T3 values (192.43±56.71) were significantly longer (p=0.035) than at T0 (50.43±13.84 seconds). Conclusion PRM BT shows promise for lifelong PE patients who do not benefit from or discontinue to pharmacotherapy. Larger prospective trials are required to confirm these findings. Key words: Life-long premature ejaculation, penis root masturbation, behavioral therapy

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Section: Discussionmentioning

confidence: 99%

Regular penis-root masturbation: a promising behavioral treatment method for lifelong premature ejaculation

Memik¹,

Voyvoda²,

Üstüner³

et al. 2023

Preprint

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show abstract

“…The dorsal nerve of the penis root is a sensory nerve that is essential for normal erection and ejaculation (Šedý, Naňka, Špačková, & Jarolím, ). Frequent stimulation of the dorsal nerve branches of the penis root can reduce penile sensitivity and central excitability to a certain extent, which may help to improve the ejaculation threshold and prolong the IETL, thereby effectively treating PE (Althof et al, ).…”

Section: Discussionmentioning

confidence: 99%

The efficacy of regular penis‐root masturbation, versus Kegel exercise in the treatment of primary premature ejaculation: A quasi‐randomised controlled trial

et al. 2019

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To explore the efficacy of regular penis‐root masturbation (PRM) versus Kegel exercise (KE) in the treatment of primary premature ejaculation (PPE). This study was a prospective quasi‐randomised controlled trial. Thirty‐seven heterosexual males with PPE were selected according to the time sequence of outpatient consultations and the preliminary results of a pre‐experiment and were assigned to an PRM group and a KE group. Differences in intravaginal ejaculatory latency times (IELTs) and premature ejaculation diagnostic tool (PEDT) scores were compared between the two groups. The study was approved by the Ethics Committee of the First Affiliated Hospital of Guangxi Medical University. Among the 37 PPE patients, 18 performed PRM and 19 patients performed KE. The IELTs of patients who performed PRM and KE were significantly prolonged before treatment, and the difference after treatment was statistically significant (p < .05). Compared with the KE group, the IELT prolongation effect in the PRM group was more significant PRM (p < .05). The PEDT scores of patients after performing PRM and KE were significantly lower than those before performing these exercises (p < .05). Compared with the KE group, the PEDT scores of the PRM group exhibited a greater decrease (p < .05). Thus, both PRM and KE have therapeutic effects on PPE. Compared with KE, PRM is more effective in the treatment of PPE.

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“…The running sutures of the crura, therefore, could not involve the tissue close to the bone. The lateral border of the sulcus is palpable on the ventral aspect of the pubic bone and thus was used as an anatomical landmark for the safe insertion of the needle [13,14].…”

Section: Methodsmentioning

confidence: 99%

Gender Reassignment Surgery in Male-to-Female Transsexualism: A Retrospective 3-Month Follow-Up Study with Anatomical Remarks

Jarolı́m

Šedý

Schmidt

et al. 2009

The Journal of Sexual Medicine

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Introduction Greater acceptance of sexual minorities has enabled people with transsexualism access to adequate treatment and social integration. Gender reassignment surgery is a complex phase in the care of transsexual patients. In response to a greater volume of patients, surgical techniques have evolved and the outcome in patients with male-to-female transsexualism is now a very accurate imitation of female genitalia, enabling sexual intercourse with orgasm. Aim To evaluate the results of surgical reassignment of genitalia in male-to-female transsexuals. Methods A retrospective 3-month follow-up study of patients’ opinions following gender reassignment surgery in 129 patients having a primary procedure (eight of whom had later sigmoideocolpoplasty) and five patients undergoing reoperation following an initial unsuccessful procedure at other units. All patients were male transsexuals. The surgical techniques are described in detail. Main Outcome Measures Sexual functions and complications 3 months after surgery. Results All patients were satisfied with the first phase operation. Thirteen patients (9.7%) underwent successful sigmoideocolpoplasty. Main complications were as follows: rectal lesions developing during preparation of the vaginal canal (1.5%); bleeding from the stump of the shortened urethra in the first 48 hours postoperatively requiring secondary suturing (4.5%); temporary urinary retention requiring repeated insertion of urinary catheters for up to 6 days (5.2%); and healing of the suture between the perineum and the posterior aspect of the vaginal introitus healing by secondary intention (5.2%). The neoclitoris had erogenous sensitivity in 93.9% of patients and 65.3% reached orgasm in the first 3 months. Conclusions Surgical conversion of the genitalia is a safe and important phase of the treatment of male-to-female transsexuals.

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Clinical Implications of a Close Vicinity of Nervus Dorsalis Penis/Clitoridis and Os Pubis

Cited by 16 publications

References 73 publications

Regular penis-root masturbation: a promising behavioral treatment method for lifelong premature ejaculation

Regular penis-root masturbation: a promising behavioral treatment method for lifelong premature ejaculation

The efficacy of regular penis‐root masturbation, versus Kegel exercise in the treatment of primary premature ejaculation: A quasi‐randomised controlled trial

Gender Reassignment Surgery in Male-to-Female Transsexualism: A Retrospective 3-Month Follow-Up Study with Anatomical Remarks

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