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《Journal of Reproductive Medicine》 2003-01
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Clinical study of diagnosis and treatment of electromagnetic stimulation with vibrational massage for the patients with neuro-functionally ejaculatory incompetence

MENG Zhan-zhan, WANG Zhe-jin * Department of Urology Andrology Laboratory, *Department of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038  
Objective: To study the diagnosis and effective therapy for the patients with neuro-functionally ejaculatory incompetence. Methods: On the basis of our clinical experiment, conductive time and velocity of pudendal nerve of 250 patients with functionally ejaculatory incompetence and 40 men with normal ejaculatory function (as control group) were determined by the electro-neurophysiological technique. 250 patients diagnosed as neuro-functionally ejaculatory incompetence were treated by electromagnetic stimulation of pudendal nerve and vibra-tional massage on penis. The conductive time and velocity of pudendal nerve were determined by the electro-neurophysiological technique simultaneously. Results: Significantly longer conductive time and slower conductive velocity of pudendal nerve were found in patients with functionally ejaculatory incompetence when compared with the control group (P0.05). After treatment, 136 cases (54.4%) were cured, 39 cases (15.6%) obtained notable improvement and 23 cases (9.2%) got some improvement. The total effective rate was 79.2%. After treatment, the conductive time and velocity of pudendal nerve showed significant improvement when compared with pre-treatment (P0.05) and no significant difference was found when compared with control group(P0.05). Conclusions: It is difficult to reach the ejaculatory threshold and trigger the ejaculatory reflex as a result of the reduced conductibility of pudendal nerve of the patients with defined or diagnosed as neuro-functionally ejaculatory incompetence. However it is possible to reach the ejaculatory threshold, trigger the ejaculatory reflex and complete the process of ejaculation when the conductibitlity of pudendal nerve improved by using repeated electromagnitic stimulation of pudendal nerve and vibrational massage on penis.
【CateGory Index】: R698.2
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