Don’t be Mr. Embarrassed Minute! How many premature ejaculation patients, because of this loud slogan, lie on the operating table of a male hospital to receive a procedure with inaccurate efficacy, imperfect technology and unsuitable for clinical promotion – dorsal penile nerve blocking. What is a dorsal penile nerve block? A dorsal penile nerve block, as the name implies, is a surgical procedure to cut certain nerves located in the penis. Over-sensitivity of penile sensation and over-excitability of penile sensory nerves are 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 excitement threshold. How does the surgery work? The efficacy and safety of this surgery is not recognized by the industry. The results of domestic and foreign studies on this procedure are different, with limited domestic literature claiming an efficiency of up to 90% and foreign literature showing an efficiency of less than 50% and numerous complications. The surgery, even as a research surgery, has the strictest indications in the best university hospitals in China, and the patient must have both 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. effective application of local anesthetic to the penis; 7, Conventional sexual behavior therapy >2 months is still ineffective; 8, the age is generally <40 years old, or >40 years old but the desire for surgery is strong. After the summary of clinical data from university hospitals in megacities such as Harbin, Beijing and Shanghai, the conclusion is: the efficacy of dorsal penile nerve block is very inexact, the technology itself is not perfect, at most after taking into full consideration the patient’s wishes as scientific research and absolutely not for clinical promotion! Is this surgery dangerous? 1, general complications: risk of infection, bleeding, incisional dehiscence, etc.; 2, serious complications: penile numbness, erectile dysfunction (ED); 3, dorsal penile nerve block is prone to some more serious complications if too many branches of the dorsal penile nerve are cut. The International Society for Sexual Medicine clearly states in the 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 premature ejaculation treatment. In general, partial severance of the dorsal penile nerve 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. Elderly men themselves are prone to ED, and the procedure should never be used for elderly people or patients with premature ejaculation in combination with ED. Special reminder: Patients who are ill should visit the doctor with their eyes wide open and treat their condition scientifically, not to be fooled by some morally corrupt doctors and choose the wrong treatment.