Patient's question:
How to treat impotence and premature ejaculation? What are its manifestations?Doctor's answer:
Regarding the causes of premature ejaculation, it is generally recommended not to resort to surgery lightly. First, it is advisable to understand the various methods used to treat premature ejaculation, then compare their pros and cons to make the most suitable choice for you.Surgical Treatment:
After local anesthesia, a 3-centimeter incision is made parallel to the penile shaft, 0.5 centimeters away from the coronal sulcus. The layers are separated down to the Buck fascia, and the bilateral dorsal nerves are freed distally to the coronal sulcus. The distal branches of the glans penis are partially cut, and then the layers are gradually sutured.
T-lebot Component Spray (T-lebot):
The main principle is that the T-lebot components act on the coronal sulcus to exert a local mucosal effect, thereby reducing the sensitivity of the external genitalia and increasing the stimulus intensity for ejaculation, as well as prolonging sexual intercourse time. Medical researchers have found that the glans skin of premature ejaculation patients is relatively softer and more sensitive than that of normal men. The mild anesthetic effect of the T-lebot spray extends sexual intercourse time. During sexual activity, the friction between the penile shaft and the vaginal wall increases, gradually restoring the protective layer on the glans surface, which helps protect the glans and prolongs the duration. With the protective layer restored, the glans sensitivity decreases, and the time will be longer than before. Thus, it has a remarkable effect on improving premature ejaculation. However, due to individual differences in physique and glans sensitivity, the effects of T-lebot vary among users. According to data from the Singapore Modern Medicine Journal, the average delay time is 22 minutes, with the shortest being 8 minutes and the longest being 79 minutes.
Viagra
Viagra, born from an accidental medical research, has saved countless men worldwide suffering from erectile dysfunction and premature ejaculation. From "impotence" to "Viagra," it has not only stood up an organ but also restored men's dignity and the joy of intimate relationships. However, the shortcomings of Viagra cannot be ignored. Viagra can only address erectile dysfunction but not premature ejaculation. Most misunderstandings about Viagra stem from an old CCTV report, which stated that Viagra is entirely for erectile dysfunction—it can help achieve rapid erection but not prolong the duration. Additionally, Viagra has multiple side effects, such as dizziness, blurred vision, redness and heat in the face, acute glaucoma, etc. It may be life-threatening for those with low blood pressure or cardiovascular diseases, and a certain number of people die each year due to its use. Long-term use can also lead to drug dependence, resulting in permanent erectile dysfunction and premature ejaculation.
Tonifying Kidney Medicine
Kidney deficiency is divided into "Kidney Yang deficiency" and "Kidney Yin deficiency." Sexual health issues like erectile dysfunction and premature ejaculation are related to "Kidney Yang deficiency." However, sexual dysfunction does not necessarily mean kidney deficiency. Blindly tonifying the kidneys is useless, so excessive supplementation for erectile dysfunction and premature ejaculation can only disrupt the nervous system, making the condition worse.
Characteristics of Surgical Treatment for Premature Ejaculation:
The technique of reducing penile nerve sensitivity was introduced not long ago. Foreign doctors began experimenting with it over a decade ago and gained recognition. Currently, only a handful of hospitals in China can perform this surgery, making it an international cutting-edge technology. Doctors skilled in this technique are rare.
Characteristics of Drug Treatment for Premature Ejaculation:
What are the types of premature ejaculation sprays? Based on usage, they can be divided into oral and topical. Currently, modern medicine still has limited methods for treating premature ejaculation, especially oral medications, which are scarce. Common examples include sertraline, but they have certain side effects. Most popular premature ejaculation medications on the market are topical, as they are convenient to use and highly effective. There are many premature ejaculation drugs available online, so caution is needed when choosing.
It can be seen that surgical treatment for premature ejaculation is not very effective, and the surgery mainly involves cutting the penile dorsal nerves, which cannot regenerate once cut. Some patients even experience the same duration or even worse erections after surgery. Therefore, it is best to be cautious. Drug treatment is safer and more effective. Drug treatment itself causes less harm to the body, especially topical medications, which are simple and convenient to use with fewer side effects. They are also quite popular. Therefore, when treating premature ejaculation, drugs should be chosen first, and surgery should only be considered as a last resort.