Glans penis augmentation using hyaluronic acid for the treatment of premature ejaculation: a narrative review
| Autor: | Kamal Achkar, Raed El Samad, Xavier Durand, Antoine Noujeim, Antoinette Ndayra, Fares Kosseifi, Ala Chebbi, Nehme Raad |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine business.industry Urology Pudendal nerve 030232 urology & nephrology Glans penis Review Article Surgical training Surgery 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine.anatomical_structure Reproductive Medicine chemistry Premature ejaculation Hyaluronic acid medicine Narrative review medicine.symptom business Glans Penis |
| Zdroj: | Transl Androl Urol |
| ISSN: | 2223-4691 2223-4683 |
| Popis: | Premature ejaculation (PE) is the most common self-reported male sexual disorder estimated to occur in approximately 5% of men in the general community. Penile hypersensitivity is thought to be an etiologic factor of lifelong PE. The role of glans penis augmentation using injectable hyaluronic acid (HA) for the treatment of PE is debatable and remains to be confirmed. The creation of a barrier at the level of the glans, by the bulking agent blocking accessibility and inhibiting the tactile stimuli to reach the dorsal nerve of the penis (branch of the pudendal nerve) receptors, is the theory behind the effectiveness of HA in the field of PE. We reviewed the literature using PubMed and searched for the following keywords: premature ejaculation, glans penis and HA, over the last 20 years. Five studies were found. These studies showed that HA injection could significantly increase IELT (2.43- to 4.46-fold), and this increase could persist for long term (up to 5 years). No serious adverse reactions were reported besides transient discoloration and swelling of the glans that recovered to normal within 2 weeks. Many techniques were discussed, their effectiveness remains to be proved. However, proper patient selection and mastering the esthetics of the technique, by adequate surgical training, is necessary in order to achieve the optimal results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|