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Transcutaneous Electrical Nerve Stimulation Of The Posterior Tibial Nerve In Treatment Of Premature Ejaculation: A Prospective Blinded Randomized Controlled Trial / By Omar Abdulsalam Mohamed Azzazi; Under the supervision of Prof. Dr. Hamed Abdalla Hamed, Dr. Abdel Rahman Ahmed Ali, Dr. Ahmed Mohamed Gamal, Dr. Aliaa Ali Tawfeek

By: Contributor(s): Material type: TextTextLanguage: English Summary language: English, Arabic Producer: 2023Description: 128 pages : illustrations ; 25 cm. + CDContent type:
  • text
Media type:
  • Unmediated
Carrier type:
  • volume
Other title:
  • التحفيز الكهربائي العصبي عبر الجلد للعصب الظُّنْبوبِيُّ الخَلْفِيّ في علاج سرعة القذف: تجربة استباقية مُنضبطة مُعشاة مُعماة [Added title page title]
Subject(s): DDC classification:
  • 616.65
Available additional physical forms:
  • Issued also as CD
Dissertation note: Thesis (Ph.D)-Cairo University, 2023. Summary: Introduction: Premature ejaculation (PE) is the most prevalent sexual dysfunction among males, with a prevalence of 5% to 40% of sexually active men. Aim of the study: The aim of the study is evaluating the use of TPTNS in treatment of PE as regards efficacy and safety using the Intravaginal Ejaculatory Latency Time (IELT) and Arabic index of premature ejaculation (AIPE) Methods: This study was carried out on (50) male patients, complaining of premature ejaculation either primary or secondary with IELT less than 2 minutes recorded by digital hand watch, attending the outpatient clinic of Andrology department, Kasr Al Ainy Hospital, Cairo University. They were divided into: Group (A): patients with PE that will undergo 10 sessions of transcutaneous posterior tibial nerve stimulation (TPTNS) on alternating days over a period of three weeks. Group (B): patients with PE that will undergo 10 sessions of sham Transcutaneous electrical nerve simulation (TENS) on alternating days over a period of three weeks. All patients were subjected to full history taking including (international index of erectile function-5 (IIEF-5), and AIPE questionnaire assessments), clinical examination. The patient was instructed to use a digital hand watch during the time of intercourse and to calculate the time difference between the start of intromission and time of ejaculation. Results: Current study showed significant improvement in IELT after receiving TPTNS with median IELT fold increase 3.095. Sixteen patients experienced improvement in their AIPE score in TPTNS group (72.72%) compared with four in the sham TENS group (18.18%), P<0.001. Conclusion TPTNS is safe non-invasive procedure and has a promising potential to be one of the reliable line of treatment for PE as it significantly improved both IELT and AIPE score. Summary: هدف هذه الدراسة هو دراسة تأثير التحفيز الكهربائي العصبي عبر الجلد للعصب الظُّنْبوبِيُّ الخَلْفِيّ في علاج سرعة القذف. ولقد تم اجراء هذه الدراسة على عدد كلى (٥٠) مريضاً من المترددين على عيادة طب وجراحة أمراض الذكورة والتناسل بالقصر العينى جامعة القاهرة يشكون من سرعة القذف بدون تأثر الانتصاب. هذه الدراسه هي تجربة استباقية مُنضبطة مُعشاة مُعماة تستخدم التحفيز العصبي عبر الجلد وهو تدخل غير دوائي امن.
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.11.Ph.D.2023.Om.T. (Browse shelf(Opens below)) Not for loan 01010110089668000

Thesis (Ph.D)-Cairo University, 2023.

Bibliography: pages 103-128.

Introduction: Premature ejaculation (PE) is the most prevalent sexual dysfunction among males, with a prevalence of 5% to 40% of sexually active men.
Aim of the study: The aim of the study is evaluating the use of TPTNS in treatment of PE as regards efficacy and safety using the Intravaginal Ejaculatory Latency Time (IELT) and Arabic index of premature ejaculation (AIPE)
Methods: This study was carried out on (50) male patients, complaining of premature ejaculation either primary or secondary with IELT less than 2 minutes recorded by digital hand watch, attending the outpatient clinic of Andrology department, Kasr Al Ainy Hospital, Cairo University. They were divided into:
Group (A): patients with PE that will undergo 10 sessions of transcutaneous posterior tibial nerve stimulation (TPTNS) on alternating days over a period of three weeks.
Group (B): patients with PE that will undergo 10 sessions of sham Transcutaneous electrical nerve simulation (TENS) on alternating days over a period of three weeks.
All patients were subjected to full history taking including (international index of erectile function-5 (IIEF-5), and AIPE questionnaire assessments), clinical examination. The patient was instructed to use a digital hand watch during the time of intercourse and to calculate the time difference between the start of intromission and time of ejaculation.
Results: Current study showed significant improvement in IELT after receiving TPTNS with median IELT fold increase 3.095. Sixteen patients experienced improvement in their AIPE score in TPTNS group (72.72%) compared with four in the sham TENS group (18.18%), P<0.001.
Conclusion TPTNS is safe non-invasive procedure and has a promising potential to be one of the reliable line of treatment for PE as it significantly improved both IELT and AIPE score.

هدف هذه الدراسة هو دراسة تأثير التحفيز الكهربائي العصبي عبر الجلد للعصب الظُّنْبوبِيُّ الخَلْفِيّ في علاج سرعة القذف.
ولقد تم اجراء هذه الدراسة على عدد كلى (٥٠) مريضاً من المترددين على عيادة طب وجراحة أمراض الذكورة والتناسل بالقصر العينى جامعة القاهرة يشكون من سرعة القذف بدون تأثر الانتصاب.
هذه الدراسه هي تجربة استباقية مُنضبطة مُعشاة مُعماة تستخدم التحفيز العصبي عبر الجلد وهو تدخل غير دوائي امن.

Issued also as CD

Text in English and abstract in Arabic & English.

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