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Praxis für Urologie
Dr. med. Aref El-Seweifi
Forum Zehlendorf
Teltower Dam 35
D-14169 Berlin
Deutschland

Tel.: +49 30 804 90 950
Fax: +49 30 804 90 951
info@masculine.de
Rapid ejaculation Premature ejaculation
Rapid ejaculation is a main problem of young people. It is due to somatic causes like affection of the autonomic nervous system or psychosomatic causes like anxiousness and stress conditions and partner conflicts. The cause is to some extent age dependant. Rapid ejaculation (premature ejaculation) agonises the female partener and leads to social conflicts even between married couples. The treatement is to perform some sexual training and positions (Masters and Johnson) to reduce the irritation of the hypersenstive glans penis. This does not always functin successfully. A second way of treatment is to give medication which reduce and delay the ejaculation. These medications have side effects on the general circulatory system and may lead to temporary loss of ejacualtion (anejaculation). Ejaculation returns when the medication is stoped without any effect of sexuality. Recentely it was observed that the the surgical reduction of the senstivity of the glans through the separation of the fine nerve branches supplying the glans is a sucessful treament for rapid ejaculation (premature ejaculation). This result is observed in patients who have good erection and positive response to the injections used to produce artificial erection. It does not work in cases of impotenece or venous leakage.

People who suffer under rapid ejaculation provided that they have an ntact pudendal nerve supply and good erection.

The patient suffering from rapid ejaculation (premature ejaculation) lyes on his back. After desinfection, local anaesthesia is injected to render the shaft of the penis painless. A small transverse incision is done on the side of the lower part of the shaft behind the head of the penis on each side. The minute nerve fibres traversing the area are cut to reduce senstivity to the galns. The wound is closed on both sided and dressed.

One important remark during the surgical treatment of rapid ejaculation (premature ejaculation) is to separate only those nerve fibers branching to the side of the urethra and not those at the dorsum.