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Dr. Mohamed Abdel_rahman Alhefnawy :: Publications:

Title:
Microsurgical Denervation of the Penis for Lifelong Premature Ejaculation: A Prospective Multicenter Study Evaluating Technique Modification and Early Clinical Outcomes
Authors: K Almekaty ; M Alhefnawy ; A Ismael ; A Elabd ; A Rashed ; M Ragab ; M H Zahran.
Year: 2026
Keywords: Not Available
Journal: Urology
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Elsevier
Local/International: International
Paper Link:
Full paper Not Available
Supplementary materials Not Available
Abstract:

Objective To prospectively assess the clinical outcomes and safety of microsurgical denervation of the penis (MSDP) for treatment of lifelong premature ejaculation (LPE); and to examine the impact of transitioning from partial to more extensive denervation. Methods A prospective multicenter study including 60 men with LPE unresponsive to optimized medical treatment who underwent MSDP. The primary outcome was to assess changes in Intravaginal Ejaculatory Latency Time (IELT), Premature Ejaculation Profile (PEP), Patients' and Partners’ Satisfaction scores at 1, 3, and 6 months after MSDP. The secondary outcome was to evaluate the effect of added-on medical treatment to patients who underwent MSDP without satisfactory results after 6 months. Results MSDP was associated with statistically significant increases in the mean± SD IELT [from 5.4±0.3 to 77±22, 127±35, and 125±37, p

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