Impotence is a very common sexual dysfunction that affects close to 50% of men over the age of 40. More than one in ten of these men with impotence are severely impotent! The so-called severe impotence is the symptoms are more serious, for example, in the same room, can only barely live with couples, of course, there are more serious can not live with couples at all. Severe impotence is not only the symptoms are more serious, and usually have to take long-term medication, what’s worse is that some people even if they take medication, but also can not see obvious results, sexual life is still unsatisfactory. Although impotence is common, there are many people do not understand impotence, that the treatment of impotence is to supplement the kidneys, the effect of supplementing the kidneys is not good, there is no way out. In fact, impotence and other diseases, whether it is diagnosis or treatment, there is a very strict set of procedures in medicine. The main content includes how to find the cause of the disease, how to treat the cause of the disease, what is the purpose of the treatment of impotence? The basic principles of treatment include control of the cause, medication, surgery and rehabilitation. Today I mainly want to talk about the surgical treatment of impotence. Drugs are definitely the main method of impotence treatment, while surgery is indispensable, after all, drugs are not always effective. Surgical methods for impotence include arterial vascular anastomosis surgery, venous leakage ligation repair surgery, penile corpus cavernosum white membrane enhancement surgery, and penile pacemaker (prosthesis) implantation surgery. Among these surgeries, penile pacemaker surgery has the most reliable results and is therefore the internationally recommended surgical method. The so-called penile pacemaker is commonly known as penile prosthesis. Penile prosthesis does not mean that after the surgery, the penis becomes fake; penile prosthesis is like a vascular stent, which is implanted into the penis, and the prosthesis is not visible from the outside, just like a normal person. After implantation, the sensation of the penis will not change, and there will be normal orgasm and ejaculation during intercourse. This is similar to breast implants used for breast augmentation! After the pacemaker is implanted, there is a small switch that is implanted into the scrotum, which is easy to use as it can be operated by hand to create an erection before intercourse, and then manually operated to soften it afterwards. After the pacemaker is implanted, the duration of erection can also be artificially controlled, so the female partner’s satisfaction will be higher. According to current data, most pacemakers can be used for a long time, but because they are mechanical devices, they will inevitably have the possibility of failure, and the overall 10-year failure rate is about 15 percent. If it fails it will need to be replaced with another surgery. So who needs penile pacemaker surgery? Generally speaking, a penile pacemaker is used for more severe cases of impotence that have not responded well to standardized medication or are ineffective. There are also some people who have impotence who have been treated with medication but cannot tolerate the side effects of the medication, so they can also have pacemaker surgery. From the patients I have done so far, the people who have this surgery include neurological and vascular impotence, and there are also cardiac impotence who have bad effect of medication and do this surgery. Here to emphasize is that the above mentioned after standardized drug treatment effect is not ideal people to do surgery, the so-called standardized drug treatment is the treatment of impotence drugs should be symptomatic, at the same time to pay attention to the side effects of drugs. Because indeed I found that there are a lot of doctor’s treatment method is questionable, mainly in the blind large amount of drugs, long time to use drugs. Generally speaking, the effect time of drug treatment for impotence is 2-4 weeks, if you take the medicine for 2-4 weeks and still have no effect, it is recommended that you have to adjust the treatment method, even if you are taking traditional Chinese medicine! Do not be regardless of the actual effect of the drug, blind pursuit of the so-called ‘root removal’ and long-term use of drugs, because even the kidney tonic Chinese medicine is not without side effects. Penile pacemakers are minimally invasive surgeries, and to do the surgery usually requires a semi-body anesthesia also known as epidural anesthesia can be, this anesthesia is a shot from the crestal vertebrae to continuously give the drug. The surgery usually requires about 7 days of hospitalization. There are two types of pacemakers available, domestic pacemakers usually cost about 100,000 yuan in total, and imported pacemakers cost about 150,000 yuan. The surgery does not usually affect your daily life. It is important to avoid cross-country sports, especially bicycling, but it does not affect riding in a car. Cycling vibration and pressure friction can damage the penile prosthesis.