Post Date December, 03 2023
Although premature ejaculation is a common sexual dysfunction, there is no satisfactory exact definition in clinic at present. Severe premature ejaculation is easy to diagnose, and it is not very complicated to determine the extent to which ejaculation cannot be controlled. The standard used in this group is commonly used by everyone at present, and its function is only to serve as a boundary of statistical data to understand the treatment effect.
Premature ejaculation is the most common male dysfunction. Perhaps one third of married men have been or have been troubled by it to varying degrees. In a survey report of 1000 normal people in Shanghai by the Professional Committee of Men's Sexual Function Rehabilitation Engineering, 35% of them have symptoms of premature ejaculation to varying degrees. However, the statistical results of incidence rate are inconsistent and the treatment effect is also very inconsistent due to the different standards of each family so far. Among the premature ejaculation patients, the prepuce is too long, accounting for a large proportion. According to Chen Kai, 95% of the 500 premature ejaculation patients have too long prepuce; According to Shu Kequan's statistics, 74.2% of 124 premature ejaculation patients had long foreskin; In this group, premature ejaculation accounted for 62.5% of the total. The above can show that the foreskin is too long is a factor of premature ejaculation in the old foreskin.
Basically, premature ejaculation is that the stimulation threshold required for ejaculation is too low, so the basic mechanism for treating premature ejaculation is to increase the ejaculation threshold. One of them is to reduce the excitability of nerves through drugs to achieve the goal of improving the ejaculation threshold. Because the dosage of drugs should be determined according to the degree of sexual excitement, small doses can delay ejaculation, while large doses can cause loss of ejaculation ability, which is difficult to master. Although it has certain curative effect, it is not easy to be accepted.
The other is to reduce its sensitivity by desensitization to increase the ejaculation threshold. It is reported that the effective rates of Seman's method (i.e., stop method) and pinching method in the treatment of premature ejaculation can reach 95.1% and 97.3% in foreign countries. In China, Shukequan reported that the effective rate was 70.7% with the combination of the two methods. Chen Kai reported that the effective rate of systematic desensitization was 76.1%, and the whole course of treatment was 3 to 6 months. The glans of the penis and the peripheral nerves of the coronal margin are rich and sensitive, which are the main sensory sites of sexual life.
During the follow-up within 3 months after circumcision, it was found that the patient's newly exposed glans was particularly sensitive. In general activities of life, the penis became erect due to the friction of clothes and pants. It must be stopped before it gradually subsided. This phenomenon is most obvious after operation, and gradually decreases with time. This is due to the long foreskin covering the glans and coronal margin for a long time, which has little stimulation, high sensitivity and low stimulation threshold, and is easy to form premature ejaculation. After circumcision, the glans and coronal margin of the penis are exposed for a long time, and are stimulated by clothing friction for a long time, resulting in repeated erections, regression, and erections, which are all below the threshold, thus reducing its sensitivity, breaking the original conditioned reflex, gradually increasing the threshold of triggering ejaculation, delaying the occurrence of ejaculation, prolonging the duration of sexual intercourse, and playing the effect of treating premature ejaculation.
