The dorsal penile nerve block surgery is to cut the foreskin between the bones, remove the terminal nerves of the dorsal penile nerve, and cut off the sympathetic nerves, so as to reduce the sensation of the genitals and glans penis, and achieve the purpose of curing primary premature ejaculation. It can reduce or eliminate the local sensation of the glans penis, reduce the irrational stimulation, and prolong the duration of sexual intercourse. It has certain symptoms, so it should be selected carefully. If the vasectomy is not thorough, it will cause failure. Or the ligation is too thorough, which may cause the foreskin to be too long and necrotized, the glans penis to become numb and numb, and the purpose of sexual pleasure cannot be achieved. It may also cause local infection, edema, fever, or ischemia and necrosis of the male genital part. Therefore, only patients who are unsuccessful in drug treatment or cannot tolerate drug treatment, and they must be patients with primary premature ejaculation, can consider dorsal nerve block surgery. If it is a patient with secondary premature ejaculation, surgical treatment is contraindicated. For male patients with premature ejaculation and erectile dysfunction, their interosseous nerves can be blocked to improve the condition of premature ejaculation. This is dorsal genital nerve block. This type of surgical treatment is still controversial at this stage and has not been fully implemented in clinical medicine. Surgical method: After successful anesthesia of the genitals, a small incision is made on the back of the genitals, the skin and muscle fascia are cut, and the dorsal penile nerve is found. It can be seen that there are many small branches heading to the head of the genitals. Some branches are blocked and the wound is closed. The stitches are removed one week after the operation, and the couple can have sex one month after the operation. This type of surgical treatment requires strict control of surgical indications, and can only be carried out after sufficient communication for patients with severe premature ejaculation who have failed to respond to medication or psychological therapy. The actual effect of dorsal genital nerve block is possible in some people, but it may not be significant in other people. Therefore, it is necessary to choose this surgical treatment carefully. Generally speaking, dorsal genital nerve block is mainly to reduce the sensitivity of the glans penis and the skin of the genitals, thereby increasing the duration of sexual intercourse. In addition to this treatment method, you can also choose the drug method to treat premature ejaculation. Generally speaking, it is recommended to choose the drug method first, and then choose the surgical treatment method if the drug treatment has no actual effect. |
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