采用阴茎系带整形治疗包皮环切后早泄患者的临床报告  

Clinical report of frenulectomy in the treatment of patient with premature ejaculation after circumcision

作　　者：宋博[1] 刘群龙[1] SONG Bo;LIU Qunlong(Department of Reproductive Medicine,Peking University Shenzhen Hospital,Shenzhen 518036,Guangdong,China)

机构地区：[1]北京大学深圳医院生殖医学中心,广东深圳518036

出　　处：《中国性科学》2025年第4期5-8,共4页Chinese Journal of Human Sexuality

基　　金：深圳市三名工程项目:北京大学第三医院乔杰院士女性生殖健康与生育力保护团队(SZSM201612065)。

摘　　要：目的评估包皮环切术后早泄(PE)患者的手术治疗方式。方法28例患者均为成年男性,早泄病史1~4年。其中包皮过长19例、包茎9例。所有患者均行包皮切除手术,术后射精时间无改善。查体:所有患者均为包皮切除后状态,伴有不同程度阴茎系带过短。手术方式:对于术后疤痕不明显患者行阴茎系带延长;对于术后疤痕明显或阴茎系带皮赘形成患者,行疤痕切除+阴茎系带整形术。结果28例患者中,术后1个月复诊,26例射精时间延长,2例射精时间无显著变化;性生活满意度为93%。术前阴道内射精潜伏时间(IELT)为(1.89±0.88)min,术后延长至为(5.82±2.3)min,手术前后比较,差异具有统计学意义(t=-9.41,P=0.00)。结论阴茎系带在勃起时相中具有重要作用,对于包皮环切后伴有PE患者可以通过阴茎系带延长或者整形延长阴茎勃起时间。Objective To assess the surgical treatment of patients with premature ejaculation(PE)after circumcision.Methods All 28 patients were adult males suffered PE for 1-4 years.Among them,19 males were redundant prepuce and 9 were phimosis.All the patients underwent circumcision,and there was no improvement in ejaculation time after surgery.Examination:All the patients were circumcised status with different degree of short penis frenulum.Surgical method:For patients with inconspicuous scars after surgery,frenulum lengthen was performed.For patients with obvious scars after surgery or frenulum skin tags,scar excision and frenulectomy were performed.Results In all the 28 patients,the ejaculation time of 26 males(93%)were lengthened and 2 persons felt no change on the ejaculation time.The intravaginal ejaculation latency time(IELT)before surgery was(1.89±0.88)min and was lengthened to(5.82±2.37)min after surgery,the difference showed statistical significance(t=-9.41,P=0.00).Conclusions Penile frenulum has important function during penile erection phase,the erectile time can be extended in the patients with PE after circumcision through frenulum lengthen or frenulectomy.

关 键 词：包皮环切术 早泄 阴茎系带 

分 类 号：R691[医药卫生—泌尿科学]