What is dorsal penile nerve block surgery like?

Many people will encounter many diseases in life. Some people are still embarrassed to bring up some diseases. For example, some diseases are related to sexual organs. Dorsal penile nerve block surgery. This surgery was told to me by a friend of mine before. I am a doctor. He wanted to learn about this surgery so that he would feel more at ease. In fact, this should be understandable. It is a good comfort to people before the operation. So let’s talk about dorsal penile nerve block surgery today.

When men are exposed to sexual stimulation, the nerve impulses of the penis skin and glans penis need to be transmitted through the dorsal penile nerve to initiate and maintain reflex penis erection. Premature ejaculation is caused by the excessive sensitivity of the penis skin and glans penis. After the implementation of selective dorsal penile nerve block, the sensitivity of the glans penis can be reduced, the ejaculation stimulation threshold can be improved, the ejaculation latency period can be prolonged, and the patient's sexual life quality can be improved.

Generally speaking, 87.5% of patients can prolong their sexual intercourse to more than 10 minutes one month after surgery, 20% of them can even last more than 30 minutes, 10% can prolong it to more than 5 minutes, and only 2-3% are ineffective. Patients who respond effectively after surgery have a greatly enhanced ability to consciously control ejaculation.

Recent research results show that in addition to psychological factors, premature ejaculation is also caused by the fact that the patient's penis glans is more sensitive than normal people, the sensory nerve excitability is higher than normal people, the ejaculation latency period is shortened, and the ejaculation stimulation threshold is lowered, which can easily induce premature ejaculation.

The penile sensory pathway starts from the receptors in the penile skin, glans penis, urethra and corpus cavernosum, sending out nerve fibers to fuse to form the dorsal penile nerve bundle, which transmits information to the hypothalamus and cortex for perception. Therefore, dorsal penile nerve resection can reduce the sensitivity of the glans penis, improve the ejaculation stimulation threshold, prolong the ejaculation latency period, and improve the patient's sexual quality of life.

Under local anesthesia, circumcision is performed first for patients with excessive foreskin. If circumcision has been performed, a circular incision is made along the edge of the original incision, and the dorsal penile nerve is exposed by separation between the Brugman fascia and the tunica albuginea. After the dorsal penile nerve is exposed, it is further separated distally to the glans penis, and the dorsal penile nerve branches are selectively removed under a microscope. The entire surgical process is completed under a high-power microscope, which is safe, accurate, and has a more ideal effect.

In the implementation of dorsal penile nerve block surgery, microsurgery technology was introduced, and microscopic highly selective dorsal penile nerve block was carried out. This treatment is an improvement and development based on the existing selective dorsal penile nerve block.

I hope that people with this disease can master this knowledge and experience, and have a deep understanding of it. This will make people who are about to undergo surgery feel more at ease, and also make their families feel more at ease. With a comprehensive understanding of this surgery, dorsal penile nerve block surgery can solve this problem. Knowing this, I hope that people with this disease will not delay treatment, cherish their lives and protect their bodies.