What is dorsal penile nerve block? Dorsal penile nerve block is a minimally invasive procedure that targets the dorsal nerve on the outside of the corpus cavernosum muscle. A tiny incision 2-3 mm long and 0.5 mm deep is made in the penile skin incision and ligated to selectively block the branches of the dorsal nerve and reduce the sensitivity of the glans skin. The entire procedure does not touch the corpus cavernosum or arteries, is painless and bleeds minimally, and heals completely within 2-3 days. In recent years, dorsal penile nerve blocking surgery has become an option for premature ejaculation treatment, but the results of the surgery are mixed, why is this? The author believes that premature ejaculation should be divided into three cases: advanced central hypersensitivity, local hypersensitivity and both sensitivity. Then if it is advanced central hypersensitivity, the usual use of condoms and local anesthetics are ineffective, and the vibration threshold is normal, the surgical effect is hardly ideal. If it is a case of local hypersensitivity, and the usual use of condoms and local anesthetics have a significant effect, and the vibration threshold is reduced, the surgical result will probably be more desirable. As some doctors have discovered, the branches of the sensitive nerves in the penis of patients with primary intractable premature ejaculation can be as many as 8-9 or even 10 or more (the normal number should be 4-6), and the excessive and dense nerve branches lead to a high degree of local sensitivity, which often leads to severe premature ejaculation at the first touch and ejaculation (however, the reliability of this statement has yet to be confirmed). So it is important to carefully select patients with good indications for the procedure. Normal men should not choose the surgery at random For normal men, even if they insist on having dorsal penile nerve block surgery when they seek medical attention, they should not be considered because the results of the surgery are certainly not obvious. The doctor irresponsibly diagnosed the patient as “premature ejaculation” according to his complaint and mobilized him for surgery. Recently, I met many 18 or 19 year old boys, even virgins, who went to the hospital to see impotence and premature ejaculation, neither married nor having a regular sex life, so how can they put such a big label on themselves? It seems that a lot of bluffing advertisements are still “effective”. For such “patients”, I have always advocated not to make any diagnosis, but to give them scientific knowledge and explain and comfort them. The actual fact is that there are many older boys who have had dorsal penile nerve blocking surgery at this age, and some have had additional deep dorsal vein ligation surgery, and even more have had various so-called prostate interventions on the grounds of prostatitis, in addition to suffering physically and throwing away fifty to sixty thousand dollars for nothing, the problem is that nothing has improved, adding to the anxiety and worry. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.