Do I need to take anti-inflammatory injections every day after dorsal penile nerve surgery?

Dorsal penile nerve surgery refers to a medical method of treating some male diseases through surgery. Dorsal penile nerve surgery can effectively treat male sexual dysfunction, male premature ejaculation, and sexual disharmony. Postoperative care after dorsal penile nerve surgery is very critical. Anti-inflammatory injections are required, and the amount of anti-inflammatory injections needs to be determined according to the healing of the wound.

Does dorsal penile nerve surgery require daily anti-inflammatory injections?

After dorsal penile nerve block surgery, the specific anti-inflammatory method should be determined based on the postoperative wound condition: it is recommended to check the wound for exudation and edema, and then determine the specific medication and treatment method.

Premature ejaculation is a common male sexual dysfunction. Current treatments mainly include behavioral therapy (such as sexual concentration training), oral medications, topical medications, physical therapy, and traditional Chinese medicine treatment. However, the intervention effects of the above clinical treatments are difficult and have limitations. There are problems such as inconvenience, difficulty in persistence, or lack of good cooperation from sexual partners. The efficacy also varies greatly depending on the subject.

In recent years, studies have shown that penile hypersensitivity or excessive excitability of the penile sensory nerve is one of the causes of premature ejaculation. Based on this theory, if the sensitivity of the penis is reduced by cutting off part of the dorsal penile nerve, the purpose of treating premature ejaculation may be achieved. In 1993, Tullii et al. reported the treatment method of dorsal penile nerve block (resection). This operation is an invasive operation, and there is great controversy about the surgical effect and specific method. Its safety and long-term effectiveness are still uncertain, and it is far from the stage where it can be promoted.

Surgical method

The surgery cuts off part of the sensory nerves, causing the sensitivity of the glans penis to decrease and the input of nerve impulses to decrease, thereby prolonging the time it takes for the nerves that control ejaculation to reach the excitement threshold.

After the penis is anesthetized, an incision is made on the back of the penis, and the skin, fascia and other tissues are cut in sequence. The dorsal penis nerve is dissected out, and several branches can be seen entering the glans penis. Several branches are cut off, and the fascia and skin are sutured. The stitches are removed one week after the operation, and sexual life can be resumed around one month.

Indications

This surgery requires strict control of indications and is only suitable for married patients with extremely sensitive penises and premature ejaculation. The patient must have already received long-term medication, psychological, and behavioral treatments with little effect. At the same time, professional measurements of the penis are required before the surgery, and then a comprehensive judgment is made after obtaining objective data. Specifically, the surgical object must meet the following conditions at the same time:

1. Normal erectile function;

2. Married or have a fixed sexual partner and have regular sexual life for more than 1 year;

3. People with severe premature ejaculation;

4. No other organic factors;

5. Normal psychological quality;

6. Applying local anesthetic to the penis is effective

7. Wearing a condom is effective;

8. Those who have not responded to conventional behavioral therapy for more than 2 months;

9. Patients who are generally 40 years old but have a strong desire for surgery.

Surgical complications

In addition to the common complications such as infection, bleeding, and incision dehiscence, if too many branches of the dorsal penile nerve are cut during dorsal penile nerve block, it is easy to cause more complications, such as penile numbness and erectile dysfunction (ED). Generally speaking, cutting off some branches of the dorsal penile nerve does not affect erectile function, but it may cause penile numbness and obvious lack of sensation, which will reduce the function of penile reflex erection and affect penile erectile function. Because elderly men are prone to ED, this surgery is not suitable for the elderly or patients with premature ejaculation who have ED.