Cizmeci Sezer, Ongun Sakir, Sarac Ayberk, Sel Eda, Tozburun Serhat, Durmus Nergiz
Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey.
Department of Pharmacology, Dokuz Eylul University School of Medicine, Izmir, Turkey.
Int J Impot Res. 2024 May;36(3):261-264. doi: 10.1038/s41443-023-00678-5. Epub 2023 Feb 13.
Premature ejaculation (PE) is common, but its true pathophysiology is not clear, and treatments are limited. We aimed to investigate the effect of neuromuscular electrical stimulation applied in different modes and frequencies to the bulbospongiosus muscle on ejaculation parameters. In this study, 24 male Wistar albino rats were used. The rats were equally divided into three groups: control, high-frequency burst (HFB) and low-frequency (LF) (n = 8 each). Neuromuscular electrical stimulation was applied to the rats for 30 min. In the HFB group, this stimulation was applied in the burst mode at 80 Hz frequency using 200 microseconds (µs) transition time. In the LF group, manual stimulation was applied using a 2 Hz frequency and 200 µs transition time. Following the intraperitoneal administration of para-chloroamphetamine at a dose of 5 mg/kg, ejaculation time, increase in basal seminal vesicle pressure, seminal vesicle maximum pressure, number and interval time of seminal vesicle contractions and bulbospongiosus muscle electromyography activities were evaluated over 30 min. There was a significant difference between the groups in terms of ejaculation time (p = 0.002). The ejaculation times of the LF, HFB and control groups were 1344.71 ± 105.9, 908 ± 62 and 672 ± 149.7 s, respectively. The post hoc analysis revealed that the ejaculation time of the LF group was significantly longer than that of the HFB and control groups (p = 0.033 and p = 0.001, respectively). The remaining parameters did not differ significantly between the groups. The results showed that low-frequency (2 Hz) electrical stimulation applied to the male rats significantly prolonged the ejaculation time. It is thus considered that applying neuromuscular electrical stimulation before planned sexual activity can prevent the rhythmic contractions necessary for completing the ejaculatory process by maintaining subtetanic continuous contraction and prolonging the ejaculation time in patients with premature ejaculation complaints.
早泄(PE)很常见,但其真正的病理生理学尚不清楚,治疗方法也有限。我们旨在研究以不同模式和频率对球海绵体肌施加神经肌肉电刺激对射精参数的影响。在本研究中,使用了24只雄性Wistar白化大鼠。大鼠被平均分为三组:对照组、高频爆发(HFB)组和低频(LF)组(每组n = 8)。对大鼠施加神经肌肉电刺激30分钟。在HFB组中,以80Hz频率的爆发模式施加这种刺激,转换时间为200微秒(µs)。在LF组中,以2Hz频率和200µs转换时间施加手动刺激。在腹腔注射5mg/kg对氯苯丙胺后,在30分钟内评估射精时间、精囊基础压力增加、精囊最大压力、精囊收缩次数和间隔时间以及球海绵体肌肌电图活动。各组之间在射精时间方面存在显著差异(p = 0.002)。LF组、HFB组和对照组的射精时间分别为1344.71±105.9、908±62和672±149.7秒。事后分析显示,LF组的射精时间明显长于HFB组和对照组(分别为p = 0.033和p = 0.001)。其余参数在各组之间无显著差异。结果表明,对雄性大鼠施加低频(2Hz)电刺激可显著延长射精时间。因此,认为在有早泄主诉的患者中,在计划性活动前施加神经肌肉电刺激可通过维持亚强直连续收缩和延长射精时间来阻止完成射精过程所需的节律性收缩。
J Sex Med. 2009-5-8