ABSTRACT
<p><b>OBJECTIVE</b>To explore the anatomical features and measure the width of the coronal sulcus of the penis.</p><p><b>METHODS</b>We observed the coronal sulcus of the penis in 269 males aged 19 -66 (mean 28) years. Among them, 137 had redundant prepuce, 11 had phimosis, 90 were normal men, and 30 had been circumcised for redundant prepuce and 1 for phimosis. The width of the sulcus was measured with the vernier caliper at the 12 o'clock position, i. e. , the middle point of the dorsal. The results were compared among different groups.</p><p><b>RESULTS</b>The mucosa of the sulcus was relatively flat, smooth and not so active. Generally, the anterior line of the coronal sulcus was indistinct, whereas the posterior line was clear and easy to be identified. The widths of the coronal sulcus were (4.32 +/- 3.44), (4.06 +/- 2.68) and (4.22 +/- 3.06) mm in the redundant prepuce, phimosis and normal groups, with no statistically significant differences among the three (P > 0.05).</p><p><b>CONCLUSION</b>Enough attention should be paid to the width of the coronal sulcus of the penis in clinical practice. The posterior line of the coronal sulcus should be chosen as the positioning standard for inner incision in circumcision.</p>
Subject(s)
Adult , Aged , Humans , Male , Middle Aged , Young Adult , Circumcision, Male , Methods , Penis , General SurgeryABSTRACT
<p><b>OBJECTIVE</b>To evaluate the safety and effect of selective resection of the branches of the two dorsal penile nerves in the treatment of primary premature ejaculation (PPE).</p><p><b>METHODS</b>From September 2003 to December 2006, 483 PPE patients aged 21-71 years (mean 32) underwent selective resection of the branches of the two dorsal penile nerves, with only 2 of the branches reserved, 3 resected in 89 cases, 4 in 183, 5 in 125, 6 in 38, 7 in 32, 8 in 12, 9 in 3 and 10 in 1. The patients could have sexual intercourse 4 weeks after the operation and were followed up for 3-36 months.</p><p><b>RESULTS</b>No infection, hemorrhage and erectile dysfunction were observed. Decreased penile sensibility was noted in all the patients, obviously prolonged ejaculation latency in 352, improvement in 93 and failure in 38, with a total effectiveness rate of 92.13%.</p><p><b>CONCLUSION</b>Selective resection of the branches of the two dorsal penile nerves, which can definitely reduce the sensivity of the penis, is a safe and effective surgical option for the treatment of PPE.</p>
Subject(s)
Adult , Aged , Humans , Male , Middle Aged , Young Adult , Denervation , Methods , Ejaculation , Follow-Up Studies , Penis , Sexual Dysfunction, Physiological , General Surgery , Treatment OutcomeABSTRACT
<p><b>OBJECTIVE</b>To introduce the advantages of the circumcision with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia.</p><p><b>METHODS</b>From November 2000 to March 2006, 2 100 patients with redundant prepuce, aged 6-78 years, averaging 23, were circumcised with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia. Of all the cases, 1 799 (85.7%) were classified as Type I, 237 (11.3%) as Type II and 64 (3.0%) as Type III redundant prepuce. The mean operation time was 20 minutes (15-35 min).</p><p><b>RESULTS</b>The incisions were all healed in one stage, with good appearance, no infection and no disruption. Bleeding occurred in 12 cases 648 hours after the operation and delayed bleeding in 3 cases.</p><p><b>CONCLUSION</b>The circumcision with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia, with easier performance, fewer complications and less bleeding, and capable of preserving more and continuous superficial fascia and giving a better appearance, well deserves to be popularized in clinical practice.</p>