What is dorsal penile block surgery?

There are many diseases whose names we don't know and we don't understand them very well, so what we need to do is to go to the hospital for a check-up. Regular check-ups are very important for us. Only regular check-ups and regular treatments can be better for our physical health. Please pay attention to your physical health.

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 limited. 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.

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, and the treatments have been ineffective. 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) Those who are married or have a fixed sexual partner and have regular sexual life for more than 1 year;

(3) Patients 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 are generally <40 years old, or >40 years old but have a strong desire for surgery.

There are reports in China that the short-term efficacy of dorsal penile nerve resection is close to 90%, but foreign literature reports that the inefficiency is about 40% or more. The reason for the huge difference in data is still unclear, which may be related to the patients selected for this method and the specific surgical method (such as the number of dorsal penile nerve branches cut during the operation). Obviously, if the main cause of the patient's illness is not due to the increased sensitivity of the dorsal penile nerve, the effect will not be satisfactory.

There is currently a lack of accurate data on long-term efficacy, and further long-term and close follow-up is needed. In addition to possible common complications such as infection, bleeding, and incision dehiscence, if too many dorsal penile nerve branches are cut during dorsal penile nerve block, it is easy to lead to increased complications, such as penile numbness and erectile dysfunction (ED). Under normal circumstances, the removal of some branches of the dorsal penile nerve does not affect erectile function, but it may cause penile numbness, obvious lack of sensation, etc., 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.

The above are questions about dorsal penile block surgery. I hope it will be helpful to everyone. In many cases, what we need to do is to have a good examination and treatment. This is very critical for us and is also very healthy. If the treatment is not timely, many problems will arise, which is not good.