Premature ejaculation patients, please say no to dorsal penile nerve blocking! 2014-08-12 15:39 Source: Sina Weibo Author: Chengdu Sewer Font Size “Do not be embarrassed Mr. One Minute”, how many premature ejaculation patients, because of this sounding slogan, lying on the operating table of the male hospital, at the mercy of others. I am an ordinary urologist, although the scene is shallow, the skills are mediocre, but also refuse to be with the weeds as neighbors. Two years ago on the fourth day of the first month, I received a call from a buddy asking me to do a hiatal hernia repair at a male hospital. The first thing I did was to ask for a doctor to do a simple surgery, but there was no doctor in a male hospital who could do it. Curiosity drove me to go there, and a supervisor told me that most of the surgeons in the hospital were on vacation because of the Chinese New Year, but they are perfect at repairing hiatal hernia on weekdays! When I finished the hiatus hernia repair in three strokes and was sewing up the skin, I heard the traveling nurse call quietly, “It’s your turn to go on stage. I was shocked, but I had to operate on this patient? The traveling nurse’s expression was extremely unnatural, and when pressed, she revealed the truth, saying that I didn’t need to bother with the next circumcision + dorsal penile nerve dissection. I stubbornly did not go. The two male doctors in their 30s came on stage, probably my eyes shocked them, circumcision foreskin trembling, at least finished, then made a transverse incision in the root of the penis, cut the skin, fascia and other tissues in turn, where the drumming of the dorsal nerve of the penis, this surgery I have not done, by the way to learn well, theoretically will soon dissect the dorsal nerve of the penis, cut off a number of dorsal nerve branches into the head of the penis, the operation is OK. The surgery is OK. I had a headache watching the bloody surgical field, when the supervisor forcibly asked me out of the operating room. I suspect they did not do anything, the usual cut in the root of the penis, or haphazardly do a gas, and then stitch up the wound, and then claim to the patient that the operation was very successful and went very well. I did not go to the supervisor’s office to collect my fee, there is a strong feeling of aiding and abetting invaded the whole body, I hope that the evil I saw in front of me, is the abridged version, is the forgotten version of the movie. Comment: 1: The definition of premature ejaculation is currently most commonly used by the American Psychiatric Association and the World Health Organization, the former defines premature ejaculation as: “persistent or periodic minimal stimulation before insertion. Ejaculation during or shortly after insertion and before the individual’s will causes significant pain or affects the partner relationship.” The latter defines premature ejaculation as “the inability to delay ejaculation with full enjoyment of lovemaking, as evidenced by one of the following, (1) ejaculation before or soon after the onset of intercourse (within 15 seconds); (2) ejaculation before reaching a full erection for sexual intercourse, the difficulty not caused by a prolonged lack of sexual intercourse.2: Penile sensory hypersensitivity or hyperexcitability of penile sensory nerves It is one of the causes of premature ejaculation. based on this theory, the treatment of premature ejaculation may be achieved by surgically cutting off part of the sensory nerve, causing a decrease in penile head sensitivity and a decrease in nerve impulse afferents, thus prolonging the time for the ejaculatory nerve to reach the excitation threshold. in 1993, Tullii et al. reported the treatment method of dorsal penile nerve block, and in China, the Professor Zhang Chunying of the Department of Gynecology at the Second Affiliated Hospital of Harbin Medical University was the first to carry out this procedure in September 2001, and subsequently this procedure was spread throughout the country like a spring, mostly limited to private male hospitals.3: The efficacy and safety of the procedure are not recognized in the industry, and the results of domestic and foreign studies on this procedure are opposite, with the limited domestic literature claiming an efficiency of up to 90% and the foreign The limited domestic literature claims an efficiency of up to 90%, while the foreign literature has an efficiency of less than 50% and numerous complications. Domestic academics are good at faking, you know. The surgery, even as a research surgery, has the strictest indications in the best university hospitals in China. Patients undergoing the surgery must also have the following conditions: (1) normal erectile function; (2) married or with a regular sexual partner and a regular sexual life of >1 year; (3) severe premature ejaculation; (4) no other organic factors; (5) normal psychological quality; (6) local anesthetic applied to the penis (7) wearing condom is effective; (8) conventional sexual behavior therapy >2 months is still ineffective; (9) age is generally <40 years old, or >40 years old but strong desire for surgery. After the summary of clinical data from university hospitals in megacities such as Harbin, Beijing, and Shanghai, it was concluded that the efficacy of dorsal penile nerve block is very inexact, and the technique itself is not perfect, and at most it should be used as scientific research exploration with full consideration of patients’ wishes but definitely not for clinical promotion. In addition to the common complications of penile surgery such as infection, bleeding and incisional splitting, dorsal penile nerve block is prone to more serious complications such as penile numbness and erectile dysfunction (ED) if too many branches of the dorsal penile nerve are cut. In general, partial severance of the dorsal penile nerve branches does not affect erectile function, but it may cause numbness and a marked lack of sensation in the penis, which can diminish the function of reflex erection and affect the erectile function of the penis. Older men are themselves prone to ED, and the procedure should never be used in older people or in patients with premature ejaculation in combination with ED. Dorsal nerve block of the penis is not mentioned in any textbook of urology. The procedure, which was almost rejected in the industry, is widely used by private male hospitals and has become one of the main means of enrichment for private male hospitals. Patients with serious complications such as penile numbness and erectile dysfunction (ED) are common after surgery. Professor Zhang Chunying painfully concluded: I am the inventor of dorsal penile nerve selective dissection (sic), this surgery is only to treat patients with primary premature ejaculation, with strict surgical indications and scientific standards, but individual advertising hospitals in order to one-sided pursuit of economic benefits, many patients who should not do the surgery through improper means, cheated to do the surgery, resulting in lifelong regret, the doctor who did the surgery is Doctors are the black sheep of the team, the hospital also has an unshirkable responsibility, the main responsibility is also in the national health care regulatory departments do not work hard enough. The main responsibility lies with the national health care regulators. 5: Fujian Putian Municipal Party Committee Secretary Liang Jianyong has publicly stated that “Baidu’s total advertising volume in 2013 was 26 billion yuan, and Putian’s private hospitals advertised 12 billion yuan on Baidu.” Beijing TV reported: Baidu bidding ranking means of profit in the country has become notorious, many private hospitals in order to improve profits and solicit business, will use the channels of Baidu bidding ranking, spend money to buy keywords, improve the search ranking, so as to attract patients, this false advertising is a poisonous worm that eats the trust of the people. The more you open Baidu and enter your disease keywords, the more top-ranked hospitals don’t go! 6: Premature ejaculation patients, please love your penis, to this gimmick to solicit patients, the dorsal nerve blocking penis as the first choice for treatment of male hospitals, firmly: I do not do this surgery, I will never do!