Transrectal Ultrasonography Findings in Cases of Premature Ejaculation

Transrectal Ultrasonography Findings in Cases of Premature EjaculationAbstract:Background:Premature ejaculation (PE) seems to be the most common sexual complaint in men. A prostatic inflammation is a knowncause of PE.Transrectal ultrasonography (TRUS) is widely used to help in the management of both benign and malignant diseases of the prostate. Aim of work:To discuss TRUS findings in cases of PE. Subjects and methods:A case control study carried out on 24 married adult male patients with age ranged from 25 to 53 years, diagnosed with PE, attending our outpatient clinic at the Department of Urology, Faculty of Medicine, Zagazig University Hospital for the first time from October 2018 to June 2019. Full medical history was taken from all patients. All patients underwent a complete andrological and physical examination.Evaluation of prostate and seminal vesicles was done via transrectal ultrasound scanning methods. Results:The TRUS findings of prostate showed that the volume of prostate among the studied cases ranged from 13.2 to 39.2 ml with mean 27.65 ml. 20.8% had calcification, 37.5% had inhomogeneous prostatic texture and only 4.2% had utricular cyst. The TRUS findings of seminal vesicle (SV) among the studied cases showed that total volume ranged from 4 to 9.5 ml with mean 6.55 ml. Conclusion:The TRUS of SV must be considered in the clinical assessment of patients with PE. SVs can be of a valuable target for the treatment of patients with PE and ultrasound changes in SV.