RSNA 2011 

Abstract Archives of the RSNA, 2011


SSA24-02

Percutaneous CT-guided Cryoablation of the Dorsal Penile Nerve for Treatment of Premature Ejaculation

Scientific Formal (Paper) Presentations

Presented on November 27, 2011
Presented as part of SSA24: Vascular/Interventional (Male and Female Pelvis)

Participants

J. David Prologo MD, Presenter: Nothing to Disclose
Edward E Cherullo MD, Abstract Co-Author: Nothing to Disclose
Laura Snyder BS, Abstract Co-Author: Nothing to Disclose
Abdus Sattar PhD, Abstract Co-Author: Nothing to Disclose

PURPOSE

Premature ejaculation (PE) is the most common male sexual dysfunction worldwide. Current treatment options are limited. Several series have demonstrated the efficacy of surgical dorsal penile branch neurectomy in this setting. The purpose of this study is to evaluate the safety, feasibility, and efficacy of CT guided cryoablation of the dorsal penile nerve for treatment of premature ejaculation.

METHOD AND MATERIALS

Eight patients that met DSM-IV-TR criteria for premature ejaculation, and who failed conventional treatment regimens, underwent percutaneous CT guided cryoablation of a unilateral dorsal penile nerve as it coursed along the anterior inferior inferior pubic ramus - utilizing a 4cm x 1.6cm cryoablation zone.  The subjects symptoms were evaluated utilizing an established premature ejaculation profile questionnaire prior to, and at multiple time points following the procedure to 60 days.

RESULTS

All patients underwent the procedure without complication. All patients reported symptomatic improvement of their condition - as documented with the premature ejaculation profile questionnaire.

CONCLUSION

Percutaneous CT guided cryoablation of the dorsal penile nerve is a safe and effective treatment for premature ejaculation.

CLINICAL RELEVANCE/APPLICATION

Percutanous CT guided cryoablation of the dorsal penile nerve represents a new, effective, minimally invasive therapy for premature ejaculation - a condition with otherwise limited therapeutic options.

Cite This Abstract

Prologo, J, Cherullo, E, Snyder, L, Sattar, A, Percutaneous CT-guided Cryoablation of the Dorsal Penile Nerve for Treatment of Premature Ejaculation.  Radiological Society of North America 2011 Scientific Assembly and Annual Meeting, November 26 - December 2, 2011 ,Chicago IL. http://archive.rsna.org/2011/11008545.html