In today’s highly competitive and stressful modern society, sexual dysfunction has become a common male disease. Among them, erectile dysfunction (ED for short) and premature ejaculation are more common. In the past, the rate of consultation of such diseases was low. This is because the traditional old concept that this is the unspeakable secret of men, is a private range. Nowadays, the times have changed, the mindset has changed, health awareness has increased, and many patients have taken the initiative to go to the hospital. A few undesirable people, taking advantage of the psychological and unspeakable characteristics of the eager to seek medical treatment, to the hospital using contracted departments, alarmist talk, stealing, new word packaging and other means of medical treatment, mainly the emergence of some abusive surgery, indiscriminate treatment, excessive treatment, so that patients snowballed, painful. In addition, many people do not know such medical knowledge, do not understand their own disease symptoms, and thus are easily cajoled, many people fall for it, and the problem is repeated. The misuse of dorsal penile neurectomy and its numerous sequelae are examples of this.
How to recognize impotence and premature ejaculation
1.Definition of impotence and the difference between mild and severe impotence is the inability of the male penis to achieve or maintain an erection to meet the demands of sexual life. Impotence has its own severity. In the mild case, the erection is not erect, and in the severe case, the erection cannot be achieved at all. The usual impotence is the latter, which is severe impotence.
2, premature ejaculation and impotence relationship premature ejaculation, often accompanied by impotence, both erection can not, also have premature ejaculation symptoms. Of course, it can also have its own symptoms.
3, impotence premature ejaculation etiology and classification Nowadays, people’s research on the etiology of impotence and premature ejaculation continues to deepen. It is generally believed that the main cause of impotence is caused by psychological factors or physical diseases. In other words, the organic etiology is less.
In terms of classification, impotence can be divided into organic, psychological and mixed though.
Impotence and early are most often due to psychological factors and physical diseases.
Organic impotence, the cause of which is often due to physical diseases in other areas, is less common in this category.
Prostatitis, circumcision, prepuce and other urinary infection diseases can induce impotence. From the clinical point of view, it is also important to pay attention to it.
In terms of the main factors, men with heavy pressure at work or in life, long-term tension, anxiety, emotional instability, mental depression, or impotence, marital discord, indifference, etc., can be the cause of impotence and premature ejaculation. Therefore, psychological impotence and premature ejaculation caused by such negative psychological factors account for the majority of such conditions.
Mixed impotence refers to the addition of psychological factors and organic factors, i.e., both psychological factors and other causative factors, which together lead to impotence. It is possible that the psychological factor comes first and is followed by other causes; it is also possible that the symptoms of organic impotence are not relieved due to untreated impotence, and the patient’s psychological pressure is not released or even aggravated, which in turn leads to psychological impotence.
According to a survey conducted by some people, the percentage of impotence and premature ejaculation causes were classified as mixed, psychological and organic. This also indicates from another level that organic causes are less common.
Whether impotence and premature ejaculation should be operated
From the above etiology, impotence and premature ejaculation require very little surgical treatment, but mainly psychological treatment and conventional clinical non-surgical treatment.
There are also misconceptions in the perception of impotence and premature ejaculation treatment. In fact, impotence and premature ejaculation in young people are mostly caused by psychological factors and systemic chronic diseases and bad lifestyle habits.
For the treatment of this disease, behavioral lifestyle adjustments and treatments should be made mainly for the aforementioned causes, rather than mainly choosing surgery. The latter can only be a supplementary method as a last resort when the long-term formal treatment is ineffective, but not the main method or the preferred method.
What is dorsal penile neurectomy
For premature ejaculation, some people advocate using the so-called “dorsal penile neurectomy”.
The main method is: under local anesthesia, circumcision is performed first for long foreskin, and if circumcision has already been done, a circular incision is made along the edge of the original incision, and the dorsal penile nerve is revealed by separating between the fascia and the white membrane. After complete exposure of the dorsal penile nerve, the dorsal penile nerve is intermittently excised. If the retained dorsal penile nerve is still thick, the dorsal penile nerve is continued to be separated distally to the head of the penis, and the dorsal penile nerve is divided into 3-4 small branches, the main trunk is retained, and the rest is cut off.
Its method has pathological and physiological basis. Some people believe that, in addition to psychological factors, premature ejaculation, the sensation of the penile head of patients is more sensitive than normal, the excitability of sensory nerves is higher than normal, the ejaculatory latency and ejaculatory reflex arc become shorter, the ejaculatory stimulation threshold is lowered, and premature ejaculation is easily induced during sexual intercourse, so the so-called dorsal penile neurectomy for impotence or premature ejaculation is proposed to reduce the sensitivity of the penile head and raise the ejaculatory stimulation threshold, prolong the ejaculatory latency and improve the quality of sexual life of patients. Especially for premature ejaculation, some people have greatly promoted this method.
How to recognize the problem of elevated glans excitability?
Actually, it is not entirely so. The actual fact is that most of the so-called elevated glans excitability is mainly an intrinsic dysfunction, or some chronic prostatitis, or some other disease, not mainly the so-called to operate and so on method.
Dorsal penile neurectomy slogan review
The actual fact is that there are a lot of advertisements on the web. The main focus is on a few points.
1. Fast recovery.
2. The surgery is safe and will not cause impotence or male infertility.
3. No age restriction. There is no strict age limit for the surgery, as long as the adult male with sexual function, can consider the implementation of the surgical treatment.
4, high technical content without complications.
The above four points, in fact, the first point is right. The rest of the points are debatable or to be cautious.
First, the safety issue, need not be too much to talk about, this article and other therefore some patients after the surgery helpless to help can explain the post-operative situation from a certain extent. The second is that the publicity of no age limit is actually worrying. How worrisome it is that many people have expanded the scope of surgery because there is no age restriction, and that people as young as just adulthood and as old as middle age are widely included in the scope of surgery. Because after all, those who need surgery and those who are adapted to it are actually, after all, a very small minority, not a majority, much less widely suitable without age restrictions. Once again, the so-called high technical content and lack of complications may not, frankly, be true. According to the advertisers, “the surgery has not been introduced for a long time, foreign doctors began to try the surgery 10 years ago, and there are only a handful of hospitals that can do it, so it is still an international cutting-edge technology, and the doctors who can skillfully operate this project are very rare.” On the contrary, a surgery that is only 10 years old means that it is still immature; it is by no means a highly technical surgery; and it is not a cutting-edge international technology. The fact that there are few such surgeries abroad is not a matter of technology, but a more cautious and rigorous scientific view of their people. As for the absence of complications, there is neither a definition of such complications nor clear statistics. On the contrary, many patients cry out for help and the existence of postoperative problems, does it belong to the scope of complications?
Current status and analysis of dorsal penile neurectomy
According to preliminary information, there are many hospitals or institutions in the country to carry out this project surgical type of publicity, the network is a series of articles, a good show, and even the opposite stage play constantly, this one said the earliest to carry out, that one said they are the most authentic, don’t have to say the most qualified, and even reminded to “be wary of unprofessional” and so on, it is simply a variety of, dazzling.
The actual analysis, to do the propaganda, more social medical, or small clinics, small facade, or the so-called “male hospital”, “urology specialist”, “dermatology specialist”, “old military doctor. “old military doctors.” The main or private hospitals, private hospitals, “specialist” with contracted departments, such as more publicity, more surgical recommendations, more self-painting.
Evaluation and countermeasures of the effect of dorsal penile nerve amputation surgery
Since it is a kind of surgery, for individual patients with premature ejaculation or similar patients, it may have some effect, but it is not necessary to adapt it to the majority of patients. At present, there is an image of abuse in the society. The scope and efficacy of the procedure are overstated, and the side effects or complications are concealed. There is a need for regulation and correction.
It is especially important to be cautious with patients suffering from such diseases, especially young people who are not involved and lack medical knowledge. If it is possible not to do the surgery, never do it; even if it is necessary to do it, it is necessary to decide carefully whether to do this kind of surgery or not after the behavior of life is adjusted and various conservative methods and conventional treatments are not effective.
In particular, it is important to go to a public hospital with rich clinical experience, good local reputation and large hospital scale for consultation and confirmation. Otherwise, be careful and cautious.
Do not believe in advertisements. Don’t believe in the words of one family. Be sure to go to several public regular hospitals to confirm the diagnosis. The main power is in your own hands.
Chinese medicine’s understanding of impotence and premature ejaculation
This disease is mostly related to damp heat in the lower jiao and liver and kidney disorders.
The liver is responsible for draining and the kidneys are responsible for storing essence. When the liver loses its sparing and discharge, and the kidney loses its sealing, it will ejaculate prematurely. As for impotence, it is still related to the liver and kidneys.
When the liver loses its drainage, the lower jiao is damp and hot, the kidney is deficient, and the kidney loses its ability to seal the collection, the symptoms will arise.
Therefore, it is important to take the liver and kidneys as the basis. Young people should clear the damp heat in the lower jiao, middle-aged people should regulate the spleen and kidneys together, and the elderly people should take the kidneys as the basis, and treat the symptoms in combination with the original cause of the disease or symptoms.
In addition, young people must be clean, to develop a good lifestyle and behavior. Regulate emotions and psychology, maintain good mental health and body, combined with the combination of acupuncture and moxibustion, acupuncture and medicine in Chinese medicine, or if necessary, combined with Western medicine treatment, most of them can cure their symptoms.