Impotence is erectile dysfunction. Erectile dysfunction and premature ejaculation can be treated using general treatment, medication and surgery. 1. General treatment: Improve lifestyle, such as quit smoking and drinking, avoid staying up late, and ensure enough sleep. Encourage patients to build up confidence. Patients who lack sexual knowledge and experience should be counseled. 2. Drug treatment: Erectile dysfunction can be treated with drugs such as type 5 phosphodiesterase inhibitors (sildenafil, tadalafil) and androgens (testosterone undecanoate pills). Premature ejaculation can be treated with drugs such as selective 5-hydroxytryptamine reuptake inhibitors (dapoxetine, paroxetine) and local anesthetics (lidocaine). All the above drugs need to pay attention to the side effects and adverse reactions of drugs, please use the above drugs under the guidance of a doctor. 3. Surgery: If the above conservative treatment is ineffective, erectile dysfunction can be treated with penile vascular surgery and penile prosthesis implantation. Premature ejaculation can be treated with dorsal penile nerve selective dissection. Surgery involves certain risks or may not be able to meet psychological expectations, and should be chosen carefully with full knowledge of the pros and cons of surgery. Patients with erectile dysfunction and premature ejaculation are advised to go to regular hospitals and choose appropriate methods of treatment under the guidance of doctors.