Login to Access Video or Poster Abstract: MP25-05
Sources of Funding: none

Introduction

Current guidelines of ISSM for premature ejaculation(PE) does not recommend selective dorsal nerve neurotomy(SDN) or hyaluronic acid gel glans penis augmentation(HA-GPA) with concern of permanent loss of sexual function. However, in Korea many urologists have performed surgical management in PE as one of the treatment modality. This study conducted an e-mail based survey to analyze Korean urologist&[prime]s practice pattern and clinical outcomes of surgical treatment in PE.

Methods

A specially designed questionnaire was mailed to all registered members of The Association of Korean Urologist and The Korean Society for Sexual Medicine and Andrology from March 2016 to July 2016. A questionnaire consisted of 5 components: responder demographics, diagnosis of PE, the management of PE, practice pattern of SDN and HA-GPA.

Results

Total 54 urologists replied at the end of the survey. Their mean age was 50.1(37-64) years and the mean period after acquiring urology certification was 19.0 (6-34) years. 42 (77.2%) Urologists managed PE patients with surgical therapy such as SDN and HA-GPA. 47(87.0%) and 36 (66.7%) urologist had prior experience of SDN and HA-GPA, respectively. They reported that they had performed total 10,732 cases of SDN, 4,344 cases of HA-GPA and 1,905 cases of autologous fat glans augmentation up to date. They experienced 401(3.7%) cases of pain or paresthesia on glans and 120 (1.1%) case of erectile dysfunction after SDN. On the other hand, they reported only 36 (0.8%) cases of pain or paresthesia on glans and no case of erectile dysfunction after HA-GPA. Others complications of three surgical modalities were summarized in Table 1.

Conclusions

In this survey, the reported incidence of permanent loss of sexual function after surgical treatment of PE was rare, unlike ISSM&[prime]s concern. Especially, the reported paresthesia and hypoesthesia after HA-GPA were extremely rare and no case of erectile dysfunction was reported in this survey. These survey results warrant well design multi-center study is needed to clarify the relation between the HA-GPA and loss of sexual function to reconsider the current ISSM guideline in treatment of PE.

Funding

none