ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
How to improve penile sensitivity?
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="Nelson Vergel" data-source="post: 242114" data-attributes="member: 3"><p>I will reach out to these clinicians since they are actually measuring penile sensitivity.</p><p></p><p>MP74-07<strong> THE PENILE SENSITIVITY RATIO: OPTIMIZATION OF A BIOTHESIOMETRY PARAMETER TO ASSESS CHANGES IN PENILE SENSITIVITY</strong></p><p>Peter Tsambarlis, Adam Wiggins, M. Ryan Farrell, and Laurence Levine</p><p></p><p>INTRODUCTION AND OBJECTIVES</p><p>Penile sensitivity ratio (PSR) was previously developed at our institution to standardize biothesiometry data and reduce variability. Significant associations with PSR were reported diminished sensation, age, and Peyronie's disease (PD). We sought to optimize the input variables comprising the PSR.</p><p></p><p>METHODS</p><p>We performed a retrospective analysis of all men who underwent biothesiometry at a single urology practice specializing in men's health from 7/2013-5/2017. PSR was initially defined as the mean biothesiometry threshold for sensation of the dorsal and ventral glans divided by the mean sensation threshold of the left and right index finger. Thus, a higher PSR indicates diminished penile sensation. We compared this ratio to models which included biothesiometry data from the penile shaft and anterior thigh. Univariate and multiple regression analyses were performed for each iteration of the ratio. Patient factors included: age, diabetes mellitus (DM), PD, erectile dysfunction (ED), ejaculatory dysfunction (premature vs. delayed vs. normal function), and subjective diminished sensation.</p><p></p><p>RESULTS</p><p>Our analysis included 1239 men with mean age of 53.2 years (SD=14.0 years). The original PSR was significantly higher in men who reported diminished sensitivity compared to men who reported normal penile sensation, 2.09 and 1.94 respectively (p =0.01). Adding mean left and right shaft to the numerator and mean left and right thigh data to the denominator of the previously described PSR lead to a model in which diminished sensitivity did not affect the ratio (p = 0.20). Alternatively, when glans and shaft data were included against the index fingers only, reported diminished sensitivity increased the ratio (p=0.03). On multiple regression analysis using the ratio of the mean glans and shaft values divided by the mean index finger values, the ratio was significantly affected by age, DM, and PD, but not reported diminished sensation.</p><p></p><p>CONCLUSIONS</p><p>The current analysis does not support the inclusion of data from the shaft or thigh, as reported diminished sensation did not affect these ratios, suggesting a lack of internal validity. The original PSR using data from the glans and index fingers appears to most accurately represent clinically significant changes in penile sensitivity. Further prospective data collection including other internal controls such as the cheek may further optimize the PSR.</p><p></p><p>[URL unfurl="true"]https://www.auajournals.org/doi/10.1016/j.juro.2018.02.2391[/URL]</p></blockquote><p></p>
[QUOTE="Nelson Vergel, post: 242114, member: 3"] I will reach out to these clinicians since they are actually measuring penile sensitivity. MP74-07[B] THE PENILE SENSITIVITY RATIO: OPTIMIZATION OF A BIOTHESIOMETRY PARAMETER TO ASSESS CHANGES IN PENILE SENSITIVITY[/B] Peter Tsambarlis, Adam Wiggins, M. Ryan Farrell, and Laurence Levine INTRODUCTION AND OBJECTIVES Penile sensitivity ratio (PSR) was previously developed at our institution to standardize biothesiometry data and reduce variability. Significant associations with PSR were reported diminished sensation, age, and Peyronie's disease (PD). We sought to optimize the input variables comprising the PSR. METHODS We performed a retrospective analysis of all men who underwent biothesiometry at a single urology practice specializing in men's health from 7/2013-5/2017. PSR was initially defined as the mean biothesiometry threshold for sensation of the dorsal and ventral glans divided by the mean sensation threshold of the left and right index finger. Thus, a higher PSR indicates diminished penile sensation. We compared this ratio to models which included biothesiometry data from the penile shaft and anterior thigh. Univariate and multiple regression analyses were performed for each iteration of the ratio. Patient factors included: age, diabetes mellitus (DM), PD, erectile dysfunction (ED), ejaculatory dysfunction (premature vs. delayed vs. normal function), and subjective diminished sensation. RESULTS Our analysis included 1239 men with mean age of 53.2 years (SD=14.0 years). The original PSR was significantly higher in men who reported diminished sensitivity compared to men who reported normal penile sensation, 2.09 and 1.94 respectively (p =0.01). Adding mean left and right shaft to the numerator and mean left and right thigh data to the denominator of the previously described PSR lead to a model in which diminished sensitivity did not affect the ratio (p = 0.20). Alternatively, when glans and shaft data were included against the index fingers only, reported diminished sensitivity increased the ratio (p=0.03). On multiple regression analysis using the ratio of the mean glans and shaft values divided by the mean index finger values, the ratio was significantly affected by age, DM, and PD, but not reported diminished sensation. CONCLUSIONS The current analysis does not support the inclusion of data from the shaft or thigh, as reported diminished sensation did not affect these ratios, suggesting a lack of internal validity. The original PSR using data from the glans and index fingers appears to most accurately represent clinically significant changes in penile sensitivity. Further prospective data collection including other internal controls such as the cheek may further optimize the PSR. [URL unfurl="true"]https://www.auajournals.org/doi/10.1016/j.juro.2018.02.2391[/URL] [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
How to improve penile sensitivity?
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top