Impotence is a common male sexual dysfunction, which mainly refers to the condition of impotence of the penis during sexual intercourse, or the condition of erection being weak. Impotence has a very negative impact on the sexual life of the couple, easily leading to tension in the relationship between the couple and affecting the stability of the family. There are many reasons for impotence, so it is necessary to carry out corresponding treatment according to the specific condition. For more serious cases, some surgical methods can be used for treatment. 1. Behavioral treatments for impotence Behavioral therapy is one of the treatment methods for psychological impotence. Its theoretical basis is that sexual behavior, like other behaviors, is learned after birth, and sexual dysfunction is the result of mislearning. Therefore, it can be corrected through relearning. The specific method is to separate the patient's fear response from the sexual intercourse situation through a series of trainings with gradually increasing difficulty, thereby achieving the purpose of eliminating concerns. 2. Negative pressure erection treatment for impotence In order to make the penis of organic impotence have enough erection hardness, the penis can be placed in a negative pressure device to make the cavernous body passively filled with blood and reach an erection state. Then, an elastic band is tied around the base of the penis to keep it erect, and sexual intercourse can be performed. The elastic band is removed within 30 minutes, and the penis can return to a flaccid state. Negative pressure erection is to make blood accumulate in the cavernous body to produce an erection state, which is different from a normal erection. 3. Vascular surgery for impotence Some impotence is caused by vascular diseases, such as insufficient arterial blood supply, venous abnormalities, and venous fistulas. The treatment of impotence caused by this type of vascular disease requires vascular surgery. 4. Neurosurgery for impotence Primary premature ejaculation is associated with increased sensitivity of the glans penis, and the main factors that determine the sensitivity of the glans penis are the distribution of the dorsal penile nerve, the number and threshold of the receptors, and the nerve conduction pathway. After dorsal penile nerve resection, the sensitivity of the glans penis can be reduced, the ejaculation stimulation threshold can be increased, the ejaculation latency period can be prolonged, and the quality of sexual life of the patient can be improved. 5. Implantation therapy for impotence It is suitable for patients with organic impotence such as trauma, pelvic surgery injury, and pudendal nerves and blood vessels, patients with erectile dysfunction, and a small number of patients with stubborn functional impotence who have not responded to comprehensive treatment. Penile prostheses include semi-rigid rod-shaped flexible prostheses, expandable prostheses, and self-contained hydraulic flexible prostheses. However, patients with cardiovascular diseases, mental illnesses, infectious diseases, diabetes, etc. are not suitable for this impotence treatment method. |
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