Patient's question:
The patient is 30 years old and underwent a spinal nerve block surgery in January 2011. Currently, during sexual activity, there is no pleasure, leading to no ejaculation and a soft penis. However, ejaculation is possible during intercourse. The desired help: Before the surgery, there was a period of sexual activity that caused premature ejaculation. After the transection surgery, the patient no longer ejaculates and is very troubled. They want to ask how to take care of themselves and whether it can be fully restored.Doctor's answer:
A middle-aged male patient, who underwent a spinal nerve block surgery three months ago. Currently, he is unable to achieve ejaculation during sexual intercourse but can engage in intercourse. It is speculated that there is no major issue, and careful observation is recommended. The inability to achieve ejaculation during intercourse but the ability to during sexual activity suggests that psychological factors may be the primary concern. It is advised to enhance communication between both partners, adjust the of sexual life, and avoid sexual activity during periods of exhaustion, stress, high pressure, or marital disharmony. Additionally, it is important to have a proper understanding of post-surgical issues and not to become overly anxious. However, it may also be related to the removal or excessive damage of nerves. Medications that support nerve health, such as methylprednisolone, can be taken. However, I do not think this is necessary, as this surgery is intended to treat premature ejaculation, but the recurrence rate of this surgery is very high, with a general recurrence rate that can reach as high as 80% within a year. Best regards.In addition, during the treatment of male urological conditions, the patient should not only focus on...