Premature ejaculation
- Details
- Published: 04 November 2018
Rapid ejaculation is one of the most frequent sexual disorders: it occurs in almost 30% of men.
There are primary and secondary premature ejaculation. Primary (or original) form is characteristic of young men. Most often, it is associated with high sensitivity of the glans of the penis. The secondary (acquired) form occurs over time and is caused, as a rule, by chronic prostatitis, erectile dysfunction, increased thyroid function (hyperthyroidism).
Diagnostic of premature ejaculation
The examination stats with a questionnaire that helps the doctor to obtain primary data on the nature and stage of dysfunction.
In the case of the acquired form of premature ejaculation, the diseases that caused the disorder are identified. An ultrasound examination of the prostate and blood test for sexual and non-sexual infections, hormonal status, cholesterol, creatinine and glucose levels are carried out.
In the Department of Urology at Sechenov University in the case of primary form of the disease, a special test, which allows to determine the sensitivity and innervation of the glance of the penis (biothesiometry), is performed.
Treatment of premature ejaculation
The treatment of primary premature ejaculation is aimed at a permanent decrease of the sensitivity of the glans penis. For this one, implantation of hyaluronic acid gel under the skin of the organ glance or selective denervation of the penis are used.
Gel injection is performed under local anesthesia. After surgery, sex life can be resumed after 4-5 days. The effectiveness of the procedure reaches 85%, but after about a year the gel is absorbed. In almost half of the patients, premature ejaculation occurs again.
The lifelong effect of reducing the sensitivity of the glans penis is achieved with selective denervation of the organ. The essence of the operation is the intersection of excess nerves, providing the sensitivity of the glance. In the Department of Urology at Sechenov University, it is performed as an outpatient, under local anesthesia. Within 2 hours after surgery, the patient can return home. Sexual life can be resumed in 3-4 weeks.
The secondary forms of premature ejaculation can be cured with getting rid of the causative diseases: chronic prostatitis, erectile dysfunction or hyperthyroidism.
