The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation:a prospective single-center study
作者机构：Department of AndrologyDrum Tower Clinical Medical CollegeNanjing Medical UniversityNanjing 210008China Department of UrologyThe Affiliated Jiangning Hospital of Nanjing Medical UniversityNanjing 211100China Department of PathologyThe Affiliated Jiangning Hospital of Nanjing Medical UniversityNanjing 211100China Department of PathologyDrum Tower Clinical Medical CollegeNanjing Medical UniversityNanjing 210008China
出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)
年 卷 期：2023年第25卷第1期
页 面：137-142页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：intraoperative neurophysiological monitoring primary premature ejaculation selective dorsal neurotomy
摘 要：Selective dorsal neurotomy(SDN)is a surgical treatment for primary premature ejaculation(PE),but there is still no standard surgical procedure for selecting the branches of the dorsal penile nerves to be *** performed this study to explore the value of intraoperative neurophysiological monitoring(IONM)of the penile sensory-evoked potential(PSEP)for standard surgical procedures in *** hundred and twenty primary PE patients undergoing SDN were selected as the PE group and 120 non-PE patients were selected as the normal *** PSEP was monitored and compared between the two groups under both natural and general anesthesia(GA)*** addition,patients in the PE group were randomly divided into the IONM group and the non-IONM *** SDN surgery,PSEP parameters of the IONM group were recorded and *** differences in PE-related outcome measurements between the perioperative period and 3 months postoperation were compared for the PE patients,and the differences in effectiveness and complications between the IONM group and the non-IONM group were *** results showed that the average latency of the PSEP in the PE group was shorter than that in the normal group under both natural and GA states(P0.001).Three months after surgery,the significant effective rates in the IONM and non-IONM groups were 63.6%and 34.0%,respectively(P0.01),and the difference in complications between the two groups was significant(P0.05).IONM might be useful in improving the short-term therapeutic effectiveness and reducing the complications of SDN.
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