Song Bo, Hou Zhen-hui, Liu Qun-long, Qian Wei-ping
Zhonghua Nan Ke Xue. 2015 Feb;21(2):149-52.
To evaluate the effect of penile frenulum lengthening in the treatment of premature ejaculation (PE).
Thirty-four males with PE were enrolled in this study, of whom 8 had received circumcision six months before and 4 had redundant prepuce, all with short frenulum. Those with a history of circumcision underwent reconstruction and lengthening of the frenulum, and those without received frenulum lengthening only.
Compared with the baseline, the intravaginal ejaculation latency time (IELT) was significantly increased at 1 month after operation ([1.35 ± 0.49] vs [5.71 ± 2.69] min, t = -9.42, P <0.01), (1.42 ± 0.5) vs (5.31 ± 2.74) min in the patients without circumcision (t = -7.41, P <0.01), (1.12 ± 0.35) vs (7.00 ± 2.20) min in those with circumcision (t = -7.24, P <0.01), and (1.50 ± 0.58) vs (4.75 ± 1.71) min in those with redundant prepuce (t = -3.81, P <0.05). Totally, 94% of the patients were satisfied with their sexual intercourse postoperatively.
Penile frenulum plays an important role in penile erection. Reconstruction and/or lengthening of the frenulum can prolong penile erection and IELT in PE patients.
评估阴茎系带延长术治疗早泄（PE）的效果。
本研究纳入34例早泄男性患者，其中8例在6个月前接受过包皮环切术，4例包皮过长，均伴有系带过短。有包皮环切术史的患者接受系带重建和延长术，无包皮环切术史的患者仅接受系带延长术。
与基线相比，术后1个月阴道内射精潜伏期（IELT）显著延长，未行包皮环切术的患者为（1.35±0.49）分钟对（5.71±2.69）分钟（t=-9.42，P<0.01），（1.42±0.5）分钟对（5.31±2.74）分钟（t=-7.41，P<0.01）；行包皮环切术的患者为（1.12±0.35）分钟对（7.00±2.20）分钟（t=-7.24，P<0.01）；包皮过长的患者为（1.50±0.58）分钟对（4.75±1.71）分钟（t=-3.81，P<0.05）。总体而言，94%的患者对术后性生活满意。
阴茎系带在阴茎勃起中起重要作用。系带重建和/或延长可延长早泄患者的阴茎勃起时间和IELT。
