”The first thing you need to do is to get a good idea of what you’re doing. I am an ordinary urologist, although the scene of the shallow, mediocre skills, but also refused to weed for 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 men’s hospital.
I was puzzled that there was not a single doctor in the male hospital who could do such a simple surgery. I was curious and went there. A supervisor told me that most of the surgeons in the hospital were on vacation because of the Chinese New Year, but they are very good 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 refused to go.
The two male doctors in their 30s came on stage, probably my eyes shocked them, circumcision circumcision trembling, at least finished, and then made a transverse incision at the root of the penis, cut the skin, fascia and other tissues in turn, where the dorsal penile nerve drumming, this operation I have not done, by the way to learn, the theory will soon dissect the dorsal penile nerve, cut off a number of dorsal nerve branches into the head of the penis, the operation is OK.
I had a headache watching the bloody surgical field, when the supervisor forced me out of the operating room.
I suspect that they did not do anything, the usual cut in the root of the penis, or a haphazardly done a gas, and then stitch up the wound, after the patient claim that the operation was very successful and very smooth.
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 censored version, is the forgotten version of the movie.
Comments.
1: Definition of premature ejaculation
The most commonly used definition is that of 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 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 nerves, 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, Professor Zhang Chunying of the Second Affiliated Hospital of Harbin Medical University was the first to carry out this operation in September 2001, and then the operation spread like a spring across the country, mostly limited to private male hospitals.
3: The efficacy and safety of the surgery has not been recognized by the industry, and the results of domestic and foreign research on this surgery are different, with limited domestic literature claiming an efficiency of up to 90%, and foreign literature with an efficiency of less than 50%, and numerous complications. Domestic academics are good at faking, you know.
The procedure, even as a research procedure, has the strictest indications in the best university hospitals in China, and the patient must also have the following conditions.
(1) normal erectile function; (2) married or with a regular sexual partner and regular sexual life up to >1 year; (3) severe premature ejaculation; (4) no other organic factors; (5) normal psychological quality; (6) effective in applying local anesthetic to the penis; (7) effective in wearing condoms; (8) ineffective in conventional sexual behavior therapy >2 months; (9) generally <40> 40 years old but with a 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, at most it should be used as a 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 dehiscence, 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 severed.
In general, partial severance of the dorsal penile nerve does not affect erectile function, but it may cause numbness and a significant 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 this procedure should never be used in older people or in patients with premature ejaculation in combination with ED.
Dorsal penile nerve block is not mentioned in any textbook of urology.
The procedure, which is 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, with patients suffering from serious complications such as penile numbness and erectile dysfunction (ED) after the procedure.
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. Specially reminded sick patients, should open their eyes to consult, scientific treatment of their condition, can not be some moral corruption of the doctor fooled, choose the wrong treatment.
4: The International Society of Sexual Medicine clearly pointed out in the latest “2014 Guidelines for the Diagnosis and Treatment of Premature Ejaculation” that “dorsal penile nerve excision may lead to permanent loss of sexual function and is not recommended for the treatment of premature ejaculation”.
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 made 12 billion yuan of advertising on Baidu.” Beijing TV reports: 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 Baidu bidding ranking channel, pay to buy keywords, improve search rankings, so as to attract patients, this false advertising is a poisonous worm that eats the trust of the people. Nearly half of Baidu’s advertising revenue comes from false medical advertising, when you open Baidu to enter the disease keywords, the more ranked the hospital the more do not go!
6: Premature ejaculation patients, please love your penis, to this as a gimmick to solicit patients, the dorsal nerve blocking penis as the first choice for treatment of male hospitals, firmly say: I do not do this surgery, I will never do!
7: Patients with premature ejaculation, please go to a regular hospital.