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| Transcutaneous dorsal penile nerve stimulation for the treatment of premature ejaculation: A novel technique |
Mohamad Moussaa,Mohamad Abou Chakrab,*( ),Baraa Dabboucyc,Youssef Faresd,Athanasios Dellise,Athanasios Papatsorisf
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aChairman of Urology Department, Lebanese University, Beirut, Lebanon
bDepartment of Urology, Lebanese University, Beirut, Lebanon
cDepartment of Neurosurgery, Faculty of Medicine, Lebanese University, Beirut, Lebanon
dDepartment of Neurosurgery, Neuroscience Research Center, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
eDepartment of Urology/General Surgery, Areteion Hospital, Athens, Greece
f2nd Department of Urology, School of Medicine, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece |
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Received: 07 July 2021
Available online: 20 July 2022
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Corresponding Authors:
Mohamad Abou Chakra
E-mail: mohamedabouchakra@hotmail.com
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TDPNS. (A) Schematic drawing of the position of electrodes for TDPNS; (B) Photo of the position of electrodes on patient for TDPNS; (C) Mechanism of action of TDPNS. The stimulation of the DPN modulates the sacral plexus and acts at the parasympathetic segment which inhibits the contraction of the ischiocavernosus and bulbospongiosus muscles. It can affect the sympathetic neurons that control the emission phase of ejaculation. TDPNS could also target different neural circuitry in the central nervous system. TDPNS, transcutaneous dorsal penile nerve stimulation; NSM, nerve stimulator machine; PN, pudendal nerve; DPN, dorsal penile nerve; S1-S4, sacral spinal nerves (1-4).
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