This noon, it took 38 minutes to remove a herniated lumbar disc that had been bothering him for 3-4 years: back pain, leg pain, leg numbness, difficulty walking more, and a significant limitation in work. The bigger problem was that in his 40s he thought he was “old”, and I think you know what I mean. After giving him an MRI of his lumbar spine, it was discovered that a huge protruding lumbar disc was compressing his spinal cord and nerves in the paracentral part of the spinal canal, which is what was affecting his sexual function and threatening his bowel function. I remember the same case some years ago, only in his 30s, not only sexual dysfunction, but also urinary and faecal inability to control, one month after the onset of the disease, surgery, although urinary and faecal restoration, sexual impotence can not be changed, what a pity! If he had sought medical treatment in time, there would have been no residual problems. A year later, he got divorced, and his life has been bleak ever since. It’s so frustrating and heartbreaking! I hope this brother will be okay!