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首页> 外文期刊>The journal of sexual medicine >The role of short frenulum and the effects of frenulectomy on premature ejaculation.
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The role of short frenulum and the effects of frenulectomy on premature ejaculation.

机译：短束带的作用以及束带切除术对早泄的影响。

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INTRODUCTION: The role of short frenulum and the effects of frenulectomy on premature ejaculation (PE) were never investigated. AIMS: The aims of this study were to evaluate the prevalence of short frenulum in a population of patients affected by lifelong PE and to investigate the role of frenulectomy as first-line treatment for this condition. METHODS: We performed frenulectomy to patients complaining of lifelong PE in which we found the presence of a short frenulum at physical examination. We evaluated intravaginal ejaculatory latency time (IELT) and the score of a validated PE questionnaire at baseline and after frenulectomy. MAIN OUTCOME MEASURES: We evaluated the change in mean IELT and in mean PE questionnaire score. RESULTS: We found the presence of a short frenulum in 59 out of 137 (43%) subjects who came to our center complaining of lifelong PE. Mean age of study population was 38.2 years (+/-5.3 standard deviation). At baseline period, mean IELT was 1.65 minutes (+/-1.15), and mean PE questionnaire score was 15.8 (+/-2.85). No complications related to surgery occurred. Mean follow-up time was 7.3 months (+/-3.18). After frenulectomy, mean IELT was 4.11 minutes (+/-1.77), and mean PE questionnaire score was 9.85 (+/-3.2). An increase in mean IELT of 2.46 minutes (P < 0.0001) and a reduction in mean PE questionnaire symptoms score of 5.95 (P < 0.0001) were noted. CONCLUSION: Short frenulum is a genital anomaly found in 43% of individuals affected by lifelong PE in our data set. We suggest always ruling out at physical examination the presence of a short frenulum in all patients complaining of PE and to propose frenulectomy as first-line treatment in these cases.
机译：简介：从未研究过短系带的作用和系带切除术对早泄的影响。目的：这项研究的目的是评估在终身性PE感染患者中短带状疱疹的患病率，并探讨作为该病一线治疗方法的带状疱疹切除术的作用。方法：我们对患有终生PE的患者进行了带状疱疹切除术，其中在体格检查中发现了短的带状疱疹的存在。我们评估了阴道内射精潜伏时间（IELT）以及在基线和结扎后的经验证的PE调查问卷的得分。主要观察指标：我们评估了平均IELT和平均PE问卷得分的变化。结果：我们发现137名（43％）来我们中心抱怨终身性PE的受试者中有59名出现短系带。研究人群的平均年龄为38.2岁（+/- 5.3标准偏差）。在基线期，平均IELT为1.65分钟（+/- 1.15），平均PE问卷得分为15.8（+/- 2.85）。没有发生与手术有关的并发症。平均随访时间为7.3个月（+/- 3.18）。腓骨切除术后，平均IELT为4.11分钟（+/- 1.77），平均PE问卷得分为9.85（+/- 3.2）。注意到平均IELT增加2.46分钟（P <0.0001），平均PE问卷症状评分降低5.95（P <0.0001）。结论：在我们的数据集中，短性系带是一种终生异常，发生于43％的终身PE患者中。我们建议在进行体格检查时始终排除所有抱怨PE的患者中存在短系带的情况，并建议在这些情况下建议进行系带切除术作为一线治疗。

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