A New Operation on MalePremature Ejaculation

Introduction. Premature ejaculation (PE) is the most prevalent sexual dysfunction in every country. There are many types of treatment, but the effect was not certain. Here, we introduce a new operation on PE. Aim: To assess the operation of extension of short frenulum on PE. Cases and Methods: 34 males with PE were enrolled into the study. 8 patients have the circumcision at least six months ago. 4 patients had redundant prepuce. All the patients had short frenulum. The people without circumcision were made the extension of fremulum. The males with circumcision were made the reconstruction and extension of frenulum. Results: Before operation, IELT was 1.35±0.49 min. One month after operation, the IELT increased to 5.71±2.69 min. At the 0.01 level, IELT showed difference before and after operation (t=-9.42, P=0.00). To the patient without circumcision, IELT showed difference before and after operation (t=-7.41, P=0.00). To the patients with circumcision, IELT showed difference before and after operation (t= -7.24, P=0.00). In all the 34 patients, 2 participants were not unsatisfied with their intercourse. The satisfying rate was 94%. Conclusion: The frenulum made important part in penile erection. When frenulum tension exceeds the limit, people experience orgasm followed by ejaculation. In this process, frenulum tension and penile corpuscles play an important role in erection. When the frenulum is reconstructed or lengthened, penile tension and sensitivity are decreased. In this way, PE might be treated by lengthening the frenulum.