Principle of surgery: The penile sensory pathway starts from the sensory apparatus in the penile skin, penile head, urethra and penile corpus cavernosum, and sends out nerve fibers to fuse to form the dorsal penile nerve bundle, joining other nerve fibers to become the internal pubic nerve, which then ascends to the spinal cord through the dorsal root of the sacral nerve, and after the receptors are activated, the pain, temperature and tactile information is transmitted to the hypothalamus and cortical layer for perception. With contact stimulation, nerve impulses from the penile skin and the penile head are transmitted through the dorsal penile nerve to initiate and maintain a reflex penile erection.
Effect evaluation: After dorsal penile nerve block, the sensitivity of the penile head can be reduced, the ejaculatory stimulation threshold can be increased, the ejaculatory latency can be prolonged, and the quality of sexual life of the patient can be improved. Generally, one month after the operation to start sexual life, 87.5% of patients can extend the sexual life time to more than 10 minutes, (of which 20% reach more than 30 minutes) 10% of patients can extend to more than 5 minutes, ineffective only account for 2-3%, and the ability to consciously control ejaculation is greatly enhanced in those who are effective.
The advantages of the surgery minimally invasive dorsal penile nerve blocking can reduce the hypersensitivity of the penile head, improve the ejaculatory threshold and prolong the latency period of ejaculation by blocking some branches of the dorsal penile nerve that innervates the head of the penis under the premise of ensuring the normal function of the overall dorsal penile nerve, so as to achieve the purpose of effective treatment of premature ejaculation. The surgery is a minimally invasive operation, with an incision of only 1-2mm and a sheep intestine suture, so there is no scar and no damage after recovery.
Highly safe, the dorsal penile nerve block only targets the sensitive dorsal nerve on the outside of the cavernous muscle for blocking, without damaging the nerves and blood vessels, thus not affecting male function and fertility. This method can precisely find the sensitive nerve, reduce the sensitivity of the penis head and improve the quality of sexual life while effectively avoiding the side effects caused by traditional treatments. The procedure is suitable for a wide range of people, as long as the adult male is suitable for the indication of the procedure.
What kind of people are suitable for this surgery? The majority of premature ejaculation patients do not belong to organic premature ejaculation, but organic premature ejaculation refers to physical premature ejaculation caused by disease.
Premature ejaculation is most common in cases where the foreskin normally covers the glans, but the glans is exposed during erection. The experts followed up and found that because the glans mucosa is normally hidden under the foreskin, the glans mucosa is normally subjected to less friction and stimulation, making the nerve sensation of the glans mucosa too sensitive. When having sex, the glans is exposed after erection, and when the glans and the vagina are rubbed and stimulated, the nerves of the glans mucosa are too delicate and sensitive, triggering premature ejaculation, resulting in premature ejaculation.
You can try to contact Van-vincent ingredient spray, so that the slight anesthetic effect makes the intercourse longer. The increased friction time between the penis and the vagina during intercourse will gradually form a layer of cuticle on the glans surface to protect it and prolong the time. It is roughly the same as the case of callus on the hand, and premature ejaculation is naturally not cured, so ordinary patients with premature ejaculation are not suitable for this surgery.
The surgery is a risky and clinical analysis The surgery was not introduced for a long time, foreign doctors started to try the surgery 10 years ago, and only 5 years ago in China, only a few hospitals can do it, so it is still an international cutting-edge technology, the doctors who can operate this technique skillfully is the wind hair phosphorus corner, patients have to choose a doctor with experience and risk to guarantee the efficacy.
The traditional view is that premature ejaculation is mostly due to psychological reasons, such as improper sexual awareness during childhood, sexual trauma, sexual guilt, lack of confidence in sexual life, etc. In recent years, many studies at home and abroad have shown that the excitability of the dorsal penile nerve in premature ejaculation patients, especially the excitability of the sensory nerve of the penile head, is higher than normal, so that the ejaculatory latency and ejaculatory reflex arc are shorter during sexual intercourse, and the ejaculatory stimulation threshold is low, which can easily induce premature ejaculation during sexual intercourse.
2, the penile sensory pathway starts from the penile skin, the penile head, the urethra and the sensory apparatus in the penile corpus cavernosum, sending out nerve fibers to fuse to form the dorsal penile nerve bundle, joining other nerve fibers to become the internal pubic nerve, and then ascending to the spinal cord through the dorsal root of the sacral nerve, and after the receptors are activated, the pain, temperature and tactile information is transmitted to the hypothalamus and the cortical layer through the dorsal penile nerve, the pubic nerve, the spinal cord and the spinal thalamus bundle for perception.
With contact stimulation, nerve impulses from the penile skin and the penile head are transmitted through the dorsal penile nerve to initiate and maintain a reflex penile erection. Therefore, after the dorsal penile nerve block, the sensitivity of the penile head can be reduced, the ejaculatory stimulation threshold can be increased, the ejaculatory latency can be prolonged, and the quality of sexual life of patients can be improved.
3, generally one month after the operation to start sex, 87, 5% of patients can extend the sexual life time to more than 10 minutes, (of which 20% up to 30 minutes or more) 10% of patients can be extended to more than 5 minutes, ineffective only 1-2%, the ability to consciously control ejaculation is greatly enhanced in those who are effective.
4, doctors found in the surgery: under normal circumstances the branches of the dorsal penile nerve should be two, but patients with primary recalcitrant premature ejaculation have as many as 8-9, some even 13, too many too dense distribution of nerves in the glans coronalis, resulting in a high sensitivity to sexual stimulation, once entering the vagina or even just touching the vaginal opening, there will be a touch of the phenomenon, a leak like a note, that is, serious premature ejaculation.
5, the surgical incision is very small, generally 1-2CM, using lamb’s intestine suture, almost no damage, no need to rest after the operation, the next day or the third day to change the medicine, the incision avoid water wet, a week after the suture natural off can shower.
6. So will the operation cause impotence or male sterility? The answer is no, because the erectile function of men is formed by the highly engorged and expanded penile corpus cavernosum under the action of hormones, which is not affected by the operation. The procedure is performed by making a superficial incision in the coronal sulcus, which does not affect the testicles or the reproductive ducts, so it does not affect the male reproductive function.
7.Is there an age limit? There should be no strict age limit, as long as adult men with sexual function have persistent premature ejaculation, they can consider implementing this surgery for treatment.
The surgery was not introduced for a long time, foreign doctors started to try the surgery 10 years ago, and only 5 years ago in China, only a few hospitals can do it, so it is still an international cutting-edge technology, the doctor who can skillfully operate the operation is the wind and hair, patients should choose a doctor with experience and risk to ensure the effectiveness.
9.Will the surgery have unexpected and serious consequences? The answer is no, the operation is carried out in a strictly sterilized operating room, no infection will occur after the operation, so there is no need for injections and infusions, the least desirable result is that the operation is ineffective, premature ejaculation has not been improved in the slightest, the proportion of 1%, but this is the statistical range that can be allowed in the implementation of medical practices and scientific research results.
Indications for dorsal penile nerve block Primary premature ejaculation that is ineffective through various treatments and other diseases such as erectile dysfunction are excluded can be treated with dorsal penile nerve block. The judgment criteria are
1. Premature ejaculation occurs since the first sexual intercourse.
2.The number of penile pumping in the vagina is less than 20 times.
3. The sexual satisfaction rate of the spouse is less than 50%.
4.Inability to control ejaculation even after ejaculation control training.
The above criteria require the patient to live together as husband and wife, have regular sex life, normal development of external genitalia, no abnormalities in bilateral testes, epididymis and spermatic cord on palpation, and normal prostate finger diagnosis. The urinary routine and prostate routine examination are normal, as well as no other contraindications to surgery.
The left dorsal penile nerve is separated between Buck’s fascia and the white membrane to reveal the left dorsal penile nerve, and the dorsal penile nerve is divided into 5-6 small branches in a radial pattern. The right dorsal penile nerve was treated in the same way, and the incision was sutured. If circumcision has been performed, a transverse incision of about 1-3 cm in length is made in the skin of the coronal sulcus of the penis, and the dorsal penile nerve is revealed by separating layer by layer and treated in the same way as above.
Key points and precautions for dorsal penile nerve block
(1) Before the operation, the patient should be introduced to the pros and cons of the operation in detail, emphasizing that only some of the distal nerve endings are cut and there are still nerve endings distributed in the penile head.
(2) When separating the dorsal penile nerve, the anatomical level should be accurate and the branches of the nerve should be clearly separated and revealed; when pulling the dorsal penile nerve, it must be gentle to prevent the nerve trunk from being completely cut off when removing the nerve branches.
How long can you have sex after dorsal penile nerve block generally one month after surgery, 87, 5% of patients can extend their sex time to more than 10 minutes, (of which 20% reach more than 30 minutes) 10% of patients can be extended to more than 5 minutes, ineffective only 1-2%, effective people feel that the ability to control ejaculation is greatly enhanced. There are no after-effects after the operation.
The difference between dorsal penile nerve block and lengthening surgery is that a transverse incision is made at the coronal sulcus on the back of the penis under local anesthesia, and the branches of the dorsal penile nerve are separated between Buck’s fascia and the white membrane to reveal the branches of the dorsal penile nerve, and as many as 7 branches are found. It is mainly a surgical method used to treat premature ejaculation.
Penile lengthening is to lengthen the length of the penis and is a more harmonious sexual life for couples.
The two do not conflict.
Precautions before penile dorsal nerve block surgery
1, pay attention to not having intercourse within a week before the surgery.
2, pay attention to personal genital cleanliness and hygiene.
3, a week can not be through masturbation, masturbation and other ways to achieve orgasm.
4, try not to smoke and drink or stay up late for a long time before the operation.
Post-operative precautions and care for dorsal penile nerve block
1.Routine anti-inflammatory and other symptomatic treatment after surgery.
2.To prevent erection at night, anti-erection drugs can be added appropriately.
3.Regular change of medication.
4.Prohibit sexual life within 1 month after surgery.
5.A few people will have a slight numbness in the glans about 20 days after surgery.