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Patients affected by premature ejaculation due to glans hypersensitivity refuse circumcision as a potential definite treatment for their problem
Author(s) -
Gallo L.
Publication year - 2014
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.12083
Subject(s) - medicine , premature ejaculation , glans , glans penis , surgery , ejaculation , adverse effect , penis , psychology , psychoanalysis
Summary The diagnosis of premature ejaculation ( PE ) was based on a score > 8 at the PEDT five‐item questionnaire. Local anaesthetic treatment ( LAT ) was the first‐line therapy. Subjects who obtained a normalisation of EPDT score (≤8) were considered responders to LAT and even affected by lifelong PE due glans hypersensitivity. We proposed to patients not completely satisfied with LAT to undergo circumcision as a potential definitive treatment for PE . All patients received exhaustive information about potential benefits, limitations and complications. In case of refusal, each man was asked for the reasons of his choice. A total of 152 patients were recruited. Hundred and twenty‐four patients among 152 (81.6%) positively responded to LAT . Among the 124 LAT responders, 21 (17%) were completely satisfied. The remaining 103 men experienced adverse reactions. It was proposed to such patients if they would be interested to a definitive form of treatment to resolve their problem. All the patients responded positively to this question. Only four patients among them (3.9%) accepted. The remaining 99 (96.1%) refused providing the following reasons of their choice: absence of guarantees 82.8%; irreversibility of the procedure creating a permanent body alteration 75.7%; costs of the procedure 12.1%; fear of potential complications 7%.