Zhang Xiaowei, Wu Yuanyi, Zhang Min, Yin Huaqi, Li Qing, Bai Wenjun, Xu Tao
Department of Urology, Peking University People's Hospital.
Department of Urology, First Affiliated Hospital of PLA General Hospital.
Medicine (Baltimore). 2018 Nov;97(45):e13135. doi: 10.1097/MD.0000000000013135.
To investigate the efficacy of acellular dermal matrix in penis augmentation (ADMPA) for premature ejaculation (PE).
A total of 39 patients treated with ADM in penis augmentation from June 2014 to December 2017 were evaluated. Detailed evaluations on PE were conducted before operation and at the 6-month and 2-year follow-up visits after operation. Self-estimated intravaginal ejaculatory latency time (IELT) and 5-item version of the International Index of Erectile Function (IIEF-5) were used to measure the ejaculation and the erectile function for all subjects.
Compared to the baseline data, the IELT and IIEF-5 scores were increased, and PE was relieved at 6 months and 2 years after operation. No major complications occurred in the series. Minor complications were resolved with conservative treatment within 3 weeks. The psychosexual impact of the operation was beneficial in the majority of cases.
Our survey systematically evaluated the effects of ADMPA for PE. ADMPA might be an optional surgical method in patients with PE, especially for those who seek penile augmentation. However, given the small amount of cases involved in this study, further studies on the effect of ADMPA for PE were still needed.
探讨脱细胞真皮基质阴茎增大术（ADMPA）治疗早泄（PE）的疗效。
对2014年6月至2017年12月期间接受ADM阴茎增大术治疗的39例患者进行评估。在手术前以及术后6个月和2年的随访中对早泄进行详细评估。使用自我估计的阴道内射精潜伏期（IELT）和国际勃起功能指数5项版本（IIEF-5）来测量所有受试者的射精和勃起功能。
与基线数据相比，IELT和IIEF-5评分升高，术后6个月和2年时早泄得到缓解。该系列中未发生重大并发症。轻微并发症在3周内通过保守治疗得到解决。在大多数情况下，手术对性心理的影响是有益的。
我们的调查系统地评估了ADMPA治疗PE的效果。ADMPA可能是PE患者的一种可选手术方法，特别是对于那些寻求阴茎增大的患者。然而，鉴于本研究涉及的病例数量较少，仍需要进一步研究ADMPA治疗PE的效果。
