How is premature ejaculation treated? Is surgery needed?

Written by Chen Qi Hua
Urology
Updated on September 01, 2024
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The first treatment for premature ejaculation is to target the treatment based on the cause; The second is behavioral therapy, which includes improving sexual techniques and the penile squeeze technique; The third is pharmacological treatment, divided into topical and oral medications; The fourth is surgical treatment, including circumcision and dorsal penile nerve block surgery.

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Written by Chen Qi Hua
Urology
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Is premature ejaculation the same as ejaculating quickly?

Premature ejaculation and rapid ejaculation are not the same thing, but they are related and connected. There isn't an absolute standard to distinguish them; it should be judged based on the duration, the number of thrusts, the satisfaction of both parties, the male's ability to control, and the persistence of duration.

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Urology
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Can premature ejaculation be cured?

Premature ejaculation can be cured, especially the milder, physiological types, which can be resolved through self-regulation. For newly married couples, proper understanding and learning about sexual knowledge, along with training under the guidance of a doctor, can lead to a cure. If the premature ejaculation is caused by other physical disorders, finding and treating the specific cause will lead to a quick recovery. However, treatment must be conducted under the guidance of a specialist.

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Urology
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Is dorsal nerve blocking surgery good for premature ejaculation?

Dorsal penile nerve block surgery involves selectively severing some branches of the dorsal nerve of the penis. Its main risks are that if too few nerves are cut, it may not achieve the therapeutic purpose, and if too many are cut, it could affect the erectile function of the penis, resulting in impotence, or even cause numbness or dullness in the local area, leading to an inability to ejaculate. Therefore, dorsal penile nerve block surgery should be cautiously considered and not used as a routine method for treating premature ejaculation.

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Written by Chen Qi Hua
Urology
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What to check for premature ejaculation

Cases of premature ejaculation should consult with specialized doctors for examination and consultation. Common examinations include: 1. Nervous system function tests, such as tests for the function of the dorsal nerve or the sacral nerve; 2. Prostate-related examinations, such as prostate ultrasound, routine prostate fluid analysis and culture, etc.; 3. Sexual hormone tests; 4. A comprehensive full-body examination.

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Urology
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Causes of premature ejaculation

The causes of premature ejaculation are mainly of two aspects. One is psychological, due to mental factors in patients, such as during the early stages of marriage, excessive tension, or disharmony in marital communication. The second is due to organic diseases, such as prostatitis, seminal vesiculitis, infections of external genitalia, and some systemic diseases, like neurological disorders.