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The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study

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 removed. We performed this study to explore the value of intraoperative neurophysiological m...

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Autores principales: Tang, Qing-Lai, Song, Tao, Han, You-Feng, Yang, Bai-Bing, Chen, Jian-Huai, Xu, Zhi-Peng, Xu, Chun-Lu, Xu, Yang, Yu, Wen, Qiu, Wei, Shi, Jiong, Zhang, En-Si, Dai, Yu-Tian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933966/
https://www.ncbi.nlm.nih.gov/pubmed/35488667
http://dx.doi.org/10.4103/aja202211
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author Tang, Qing-Lai
Song, Tao
Han, You-Feng
Yang, Bai-Bing
Chen, Jian-Huai
Xu, Zhi-Peng
Xu, Chun-Lu
Xu, Yang
Yu, Wen
Qiu, Wei
Shi, Jiong
Zhang, En-Si
Dai, Yu-Tian
author_facet Tang, Qing-Lai
Song, Tao
Han, You-Feng
Yang, Bai-Bing
Chen, Jian-Huai
Xu, Zhi-Peng
Xu, Chun-Lu
Xu, Yang
Yu, Wen
Qiu, Wei
Shi, Jiong
Zhang, En-Si
Dai, Yu-Tian
author_sort Tang, Qing-Lai
collection PubMed
description 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 removed. We performed this study to explore the value of intraoperative neurophysiological monitoring (IONM) of the penile sensory-evoked potential (PSEP) for standard surgical procedures in SDN. One hundred and twenty primary PE patients undergoing SDN were selected as the PE group and 120 non-PE patients were selected as the normal group. The PSEP was monitored and compared between the two groups under both natural and general anesthesia (GA) states. In addition, patients in the PE group were randomly divided into the IONM group and the non-IONM group. During SDN surgery, PSEP parameters of the IONM group were recorded and analyzed. The 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 compared. The 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 (P < 0.001). Three months after surgery, the significant effective rates in the IONM and non-IONM groups were 63.6% and 34.0%, respectively (P < 0.01), and the difference in complications between the two groups was significant (P < 0.05). IONM might be useful in improving the short-term therapeutic effectiveness and reducing the complications of SDN.
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spelling pubmed-99339662023-02-17 The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study Tang, Qing-Lai Song, Tao Han, You-Feng Yang, Bai-Bing Chen, Jian-Huai Xu, Zhi-Peng Xu, Chun-Lu Xu, Yang Yu, Wen Qiu, Wei Shi, Jiong Zhang, En-Si Dai, Yu-Tian Asian J Androl Original Article 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 removed. We performed this study to explore the value of intraoperative neurophysiological monitoring (IONM) of the penile sensory-evoked potential (PSEP) for standard surgical procedures in SDN. One hundred and twenty primary PE patients undergoing SDN were selected as the PE group and 120 non-PE patients were selected as the normal group. The PSEP was monitored and compared between the two groups under both natural and general anesthesia (GA) states. In addition, patients in the PE group were randomly divided into the IONM group and the non-IONM group. During SDN surgery, PSEP parameters of the IONM group were recorded and analyzed. The 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 compared. The 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 (P < 0.001). Three months after surgery, the significant effective rates in the IONM and non-IONM groups were 63.6% and 34.0%, respectively (P < 0.01), and the difference in complications between the two groups was significant (P < 0.05). IONM might be useful in improving the short-term therapeutic effectiveness and reducing the complications of SDN. Wolters Kluwer - Medknow 2022-04-22 /pmc/articles/PMC9933966/ /pubmed/35488667 http://dx.doi.org/10.4103/aja202211 Text en Copyright: © The Author(s)(2022) https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Tang, Qing-Lai
Song, Tao
Han, You-Feng
Yang, Bai-Bing
Chen, Jian-Huai
Xu, Zhi-Peng
Xu, Chun-Lu
Xu, Yang
Yu, Wen
Qiu, Wei
Shi, Jiong
Zhang, En-Si
Dai, Yu-Tian
The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study
title The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study
title_full The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study
title_fullStr The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study
title_full_unstemmed The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study
title_short The application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study
title_sort application of intraoperative neurophysiological monitoring in selective dorsal neurotomy for primary premature ejaculation: a prospective single-center study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933966/
https://www.ncbi.nlm.nih.gov/pubmed/35488667
http://dx.doi.org/10.4103/aja202211
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