Nerve Block Techniques for Premature Ejaculation Treatment - Urology

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Regarding the micro-forming technique of dorsal root nerve block?


Hello, Doctor! I have three questions that I would like to ask you, thank you very much.

1.
I am currently experiencing premature ejaculation and am receiving treatment at a urology clinic in Taichung.
The physician there prescribed me medication for depression, but it doesn't seem to be effective.
I have a sensitive constitution, and I tend to itch whenever touched by others.
I wonder if this is related to my issue?
2.
Recently, I found some articles online about "premature ejaculation nerve-blocking surgery." Most of these sources are not affiliated with hospitals or medical professionals.
I also noticed your responses to other patients with similar issues, and it seems you are not very familiar with this surgery.
I did some research and found that it is also referred to as "premature ejaculation microsurgical technique." However, I could only find information about it on one clinic's website: http://www.121314.com.tw/service.htm.
What is your perspective on this type of surgery?
3.
Regarding masturbation, I used to do it daily for a period of time.
The information I found online is very polarized; some say it is harmful to the body, while others claim it is not harmful at all.
Some also mention that traditional Chinese medicine views it differently from Western medicine.
What is the correct answer regarding this issue?
Thank you very much for your answers!

Doufu, 20~29 year old female. Ask Date: 2012/03/24

Dr. Xu Weikai reply Urology


Tofu: Hello.
1.
Premature ejaculation is generally related to experience or attitude.
In simpler terms, it requires training or coordination between both partners.
For example, when you feel close to ejaculation, take a brief pause to reduce the urge.
Regularly practicing this should gradually improve the duration of erections.
2.
I am not familiar with nerve reshaping for premature ejaculation.
3.
Western medicine considers masturbation to be harmless to the body.
However, since masturbation often stimulates the most sensitive areas, it can frequently lead to the side effect of premature ejaculation.
Nevertheless, most individuals can gradually improve their condition during actual sexual intercourse after some adjustment.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/03/24

More Info


When addressing the concerns regarding premature ejaculation (PE) and the potential treatment options, including nerve block techniques, it's essential to understand the underlying mechanisms of PE, the available treatment modalities, and the implications of each approach.

1. Understanding Premature Ejaculation: Premature ejaculation is a common sexual dysfunction characterized by ejaculation that occurs with minimal sexual stimulation, often before or shortly after penetration. It can be influenced by psychological factors, such as anxiety or depression, as well as physiological factors, including sensitivity of the genital area. Your mention of heightened sensitivity and itchiness upon touch may suggest a hyper-responsive nervous system, which could contribute to your PE. It’s important to discuss these symptoms with your healthcare provider, as they may indicate an underlying condition that needs to be addressed.

2. Nerve Block Techniques for PE: The concept of nerve block techniques, sometimes referred to as "premature ejaculation nerve block surgery" or "microsurgical techniques," is relatively novel and not widely practiced. The idea behind these procedures is to target specific nerves that may be contributing to the heightened sensitivity and rapid ejaculation response. While some anecdotal reports and limited studies suggest that nerve blocks may help in reducing sensitivity and prolonging ejaculation time, the evidence is not robust, and the procedure is not universally accepted in the medical community. It’s crucial to approach such treatments with caution and to seek out qualified professionals who have experience in this area. Consulting with a urologist or a sexual health specialist who is knowledgeable about the latest research and techniques can provide you with more reliable information.

3. Masturbation and Its Effects: The topic of masturbation often generates mixed opinions. From a medical standpoint, masturbation is generally considered a normal and healthy sexual activity. It can have several benefits, including stress relief, improved sexual function, and a better understanding of one’s own body and sexual preferences. However, excessive masturbation, particularly if it interferes with daily life or sexual relationships, may lead to psychological distress or feelings of guilt. In traditional Chinese medicine, perspectives on masturbation can differ significantly from Western views, often emphasizing balance and moderation. Ultimately, moderation is key; if you find that your habits are affecting your physical or mental health, it may be worth discussing with a healthcare provider.

In summary, addressing premature ejaculation involves a multifaceted approach that includes understanding the psychological and physiological factors at play. While nerve block techniques may offer a potential avenue for treatment, they should be considered carefully and discussed with a qualified healthcare professional. Additionally, masturbation is generally healthy when practiced in moderation, but if it becomes a source of concern, seeking guidance can be beneficial. Always prioritize open communication with your healthcare provider to explore the best treatment options tailored to your individual needs.

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