Premature ejaculation is one of the common clinical male diseases, which seriously affects the quality of sexual life and not only causes great harm to the majority of patients physically and mentally, but also threatens the couple’s relationship and family harmony. According to a domestic survey, 30% of divorced couples admitted that their divorce was caused by sexual disharmony. In recent years, we found through a large number of anatomical studies that the average dorsal penile nerve in normal people is 3.55, while the dorsal penile nerve in patients with premature ejaculation is abnormally increased, and in some cases it even reaches a dozen. This discovery corrected the traditional understanding of “only two dorsal penile nerves” and theoretically rejected the “Tullii
RE dorsal penile nerve dissection”. Based on this anatomical basis, we propose a new surgical method for the treatment of premature ejaculation. Simply put, the patient’s penile foreskin is circumcised to expose the entire dorsal penile nerve, and then two nerves are selectively preserved, while the rest of the nerves are severed. Through years of efforts and several improvements, we have worked out a more mature set of surgical parameters with stable efficacy, good safety and satisfaction of both husband and wife. Theoretically, all men can prolong intercourse by reducing the sensitivity of the penis head, but not all premature ejaculation patients can completely solve the problem of premature ejaculation through this surgery. First of all, the patient should belong to primary premature ejaculation, i.e. those whose ejaculation latency is always less than 2 minutes since the first sexual intercourse. In addition to primary premature ejaculation, there should be the following indications for the procedure: age not older than 40 years, erectile hardness must exceed 90 degrees, good psychological quality, symptom relief with condom, symptom relief with local epidermal application, symptom relief with moderate alcohol consumption, and symptom relief with oral antidepressants. The latest research results show that premature ejaculation, especially primary premature ejaculation, is due to the fact that patients tend to have overly sensitive penile head sensation, leading to ejaculatory dysfunction. Therefore, a small incision of 1 to 2 cm has been made in the dorsum of the penis to cut off the dorsal penile nerve except for the central nerve to reduce sensitivity. This procedure is called “Tullii
This procedure is called “Tullii RE penile dorsal nerve dissection”. However, its effectiveness has been proven to be unstable through extensive clinical practice. The treatment of premature ejaculation has always been a problem in the medical field. In the past, the cause of premature ejaculation was generally considered to be due to psychological factors, and psychological and behavioral therapies were mostly adopted. However, the treatment period is long, the method is cumbersome, not easy to adhere to, and the effect is not exact. Oral antidepressants for premature ejaculation are generally effective at about 50%. However, because of the frequent occurrence of side effects, it is important to distinguish the advantages and disadvantages in the clinical use of rational selection. It is difficult to control the amount of topical epidermis, the effect is not ideal with a small amount of medication, and the high amount of medication will cause excessive local anesthetic effect, which often leads to sexual pleasure disorder or penile erectile dysfunction. Premature ejaculation can be treated with penile cavernosal drug injection therapy. Although premature ejaculation still exists, the penile erection can be maintained for a certain period of time after ejaculation, which is helpful to improve the sexual satisfaction of the spouse. This therapy should be used with caution because of the risk of inducing abnormal penile erection. Penile prosthesis implantation is expensive, effective in the treatment of erectile dysfunction and effective in premature ejaculation, and can be chosen at your discretion according to the economic situation.