Modern methods of minimally invasive treatment of premature ejaculation.

Abstract

Introduction. Premature (early) ejaculation is a common male sexual problem. Despite a significant number of proposed methods, there is still no consensus among doctors about the most effective methods of conservative and surgical treatment of this pathology. Materials and methods. The results of publications of domestic and foreign authors devoted to various approaches to the surgical treatment of premature ejaculation were analyzed: circumcision, injections of fillers into the glans penis, various techniques for performing selective dorsal neurotomy, injection of botulinum toxin into the bulbospongiosus muscle, radiofrequency neuromodulation of the dorsal nerve of the penis, selective cryoablation of the dorsal nerve of the penis. Results. The most controversial surgical techniques for the treatment of premature ejaculation. Indications for surgery, technical performance are still variable, and the results are difficult to predict. Selective dorsal neurotomy, radiofrequency ablation, and cryoablation seem promising. It is necessary to develop standard approaches to the selection of patients and the method of performing operations based on a sufficient number of clinical studies. Conclusion. Despite the sufficient number of proposed methods for the surgical treatment of premature ejaculation, it is necessary to standardize approaches to the selection of patients and the choice of surgical technique.