Premature Ejaculation Treatment - Lidocaine Test
Surgical treatments for #premature #ejaculation, or #rapid #ejaculation.
http://medicaldoctor.ru/andrology/eja...
We've already discussed other methods for prolonging intercourse (such as medication or sex therapy) in another video, so we won't cover them now, especially since their feasibility and effectiveness are quite controversial.
As a reminder, surgical treatment is not suitable for all men. It's only suitable for those whose ejaculation is largely determined by penile sensitivity and less by emotional state.
To determine whether surgery will be effective, a lidocaine test or a test with any other anesthetic should be performed.
#LIDOCAINE #TEST
Any man can perform this test at home. Any local anesthetic available at pharmacies (such as Elma cream or lidocaine spray) will work for this. You can also use anesthetic condoms or prolonging gels sold in sex shops.
If you suspect you have an allergy to a particular local anesthetic, consult your doctor before testing and perform a skin test (bring the medication you plan to use to your appointment).
How exactly do you perform the anesthetic test?
It's quite simple:
Take a shower
Apply anesthetic to the glans, foreskin, and frenulum of the penis (no need to apply any lubricant to the skin).
Wait until numbness occurs
Then wash with soap and lather to remove any remaining anesthetic
Then have intercourse
If the duration of intercourse increases or you begin to feel more in control of ejaculation, surgery may be an option. If the duration has not increased or has increased only slightly, then surgery is not recommended.
WHICH SURGERY TO CHOOSE TO INCREASE THE DURATION OF INTERCOURSE
By treating different areas of the penis during a lidocaine test, one can determine which area is the "trigger"—that is, responsible for ejaculation. Accordingly, one can determine which surgery is appropriate.
For example, if sensitivity is concentrated primarily in the frenulum, and ejaculation occurs due to its tension, then frenuloplasty may be sufficient.
If intercourse can be prolonged by treating the foreskin, frenulum, and, to a lesser extent, the glans itself, then circumcision with frenuloplasty may be recommended.
If ejaculation can only be delayed by prolonged anesthetic exposure to the foreskin, frenulum, and glans, then denervation of the glans with simultaneous circumcision and frenuloplasty is necessary.
If you've performed the test and are having trouble deciding, please contact us via the forum. To do this, create a thread and describe your situation; we'll help you decide. You can also resolve the matter via email.
When discussing the effectiveness of each technique, circumcision should be considered first. This surgery removes sensitive areas—the foreskin and frenulum—and reduces sensitivity of the glans. For most men, this is sufficient.
Frenuloplasty without circumcision is less common for treating premature ejaculation. This procedure can prolong sexual intercourse only if a lidocaine test reveals a clear correlation between stimulation of the frenulum and ejaculation. But this is rare, and usually requires removal of the foreskin.
Glans denervation (with circumcision) not only removes the foreskin and frenulum, but also minimizes sensitivity to the glans penis, even to the point of complete numbness. During the surgery, the sensory nerves leading to the glans penis are severed. This achieves maximum effect, allowing the patient to control the duration of sex.
However, this method also has its drawbacks:
Sensation during intercourse is significantly reduced. Therefore, we always try to leave a few nerve trunks to maintain some residual sensitivity in the glans.
Another disadvantage of denervation is the duration of the effect. After several years, sensitivity may increase due to partial restoration of the severed deep nerves and the regrowth of cutaneous nerves.
Nevertheless, the method is very effective. The surgery itself is only slightly more extensive than circumcision.
You can read more about all our methods on our Uroforum and the Medikaldoctor website.
The forum also features patient testimonials from our patients after treatment, along with photos of their results. You can also leave comments on the videos or ask me and my colleagues questions.
Subscribe to our YouTube channel and our social media groups!
I wish everyone good luck and good health! See you soon!