In 1993, Brazilian surgeon Tullii et al. reported on dorsal penile nerve block, a surgical procedure for premature ejaculation, and in September 2001, urologists in China began to perform the procedure, which soon became widespread in China, so much so that even a search using relevant keywords in English yielded mostly articles written by Chinese authors, but what contrasts sharply with this apparent “boom” is that Neither the Guidelines for the Diagnosis and Treatment of Premature Ejaculation (2011) issued by the Men’s Division of the Sexual Medicine Specialty Committee of the Chinese Sexual Society nor the Guidelines for the Diagnosis and Treatment of Premature Ejaculation (2014) issued by the Special Committee on the Definition of Premature Ejaculation and the Committee on Guidelines for Premature Ejaculation of the International Society for Sexual Medicine recommend cutting the dorsal penile nerve. As a treatment for premature ejaculation, why is it such an icy situation? Can premature ejaculation patients be treated with this surgical procedure or not? Let’s start with the basic concept and principle. If we catch a random person on the street and ask you (or your spouse) if you have premature ejaculation, and the other party does not directly beat you up but seriously answer the question, you will find that the answers may be varied, and even what exactly is considered premature ejaculation is also unclear, of course, what exactly is premature ejaculation, this is actually an academic question, you have to let the academic community to answer, but what makes everyone dizzy is The problem is that the academic community was once very confused about this issue. It’s not just a diagnostic issue, is it? The actual fact is that you can’t even figure out if it’s premature ejaculation, you doctors are all quacks? You do not say, the diagnosis of premature ejaculation is really a bit of a problem, it is not like the diagnosis of a fracture, an X-ray film in front of the reading light, as long as the doctor is not blind, basically can confirm the diagnosis. But the same man’s condition may be judged as premature ejaculation and non-premature ejaculation at different times in history, because the definition of premature ejaculation is actually always changing. For a considerable period of history, what is known today as premature ejaculation would not have been classified as a disease, but rather than being a disease, it might have fallen under some kind of advantage. Compared to the long history of mankind, the history of people wearing pants is just a moment in the light of stone and fire, and the instinctive behavior of mating has to find an undisturbed private space is also a very recent habit, the pre-civilizational history of human love between the sexes, naturally, with the same wild animals, the sky as a quilt to the ground as a bed, nature in all its pleasures. For people in today’s civilized world, wild warfare is probably only a special excitement outside of regular sexual activities, and it is fine to do it occasionally, but for our ancestors, it was a reproductive activity that had to be risked, and mating activities could be interrupted at any time by fierce beasts and jealous homosexuals. As the saying goes, “survival of the fittest”, the habit of rapid ejaculation has been written into the genes of men from generation to generation. In this sense, we are all descendants of speed shooters. But with the improvement of human living environment, people have developed the stink that mating must be done in private space, especially when women’s sexual awareness gradually awakened, women’s sexual satisfaction has become a factor that must be considered in sexual activities, at this time, rapid ejaculation has become a problem that must be faced, oh, from this point on, we should use the term premature ejaculation (premature ejaculation) The word “premature ejaculation” (PE) is used.