Can premature ejaculation be treated with injections?

Premature ejaculation can be treated with local anesthetic injections, but doctor's advice must be strictly followed. Commonly used methods include dorsal penile nerve block, local anesthetic gel injection, etc., which are mainly suitable for patients with primary premature ejaculation and conservative treatment is ineffective.

1. Local anesthesia injection:

Injections of local anesthetics such as lidocaine can reduce penile sensitivity. It needs to be operated by a professional doctor. The injection site is usually in the dorsal nerve distribution area of ​​the penis. The effect of a single injection can last for several hours. Overuse may cause local tissue damage or erectile dysfunction.

2. Nerve block:

Prolongs ejaculation latency by blocking dorsal nerve conduction in the penis. It is an invasive treatment and requires assessment of neuroanatomical positioning. Complications such as local hematoma and abnormal sensation may occur. Behavioral training is required to maintain the effect after surgery.

3. Indications restrictions:

It is only recommended for patients with primary premature ejaculation who have excessive penile sensitivity. Premature ejaculation secondary to prostatitis, thyroid disease or psychological factors requires treatment of the original disease first, and such injection treatment is prohibited for those with erectile dysfunction.

4. Combined treatment plan:

Injection treatment needs to be combined with behavioral therapy to consolidate the effect. It is recommended to practice sexual skills such as squeeze training and the stop-motion method, combined with oral medications such as serotonin reuptake inhibitors to improve long-term efficacy and avoid the formation of injection dependence.

5. Risk management and control:

The frequency and dosage of injections need to be strictly controlled. It is advisable not to exceed 2 times a month. If adverse reactions such as skin necrosis and persistent numbness occur, the drug must be discontinued immediately. Sexual function scales should be evaluated regularly during treatment, and those who are ineffective should switch treatment strategies in a timely manner.

It is recommended to give priority to non-invasive methods such as behavioral training and oral drugs, with injection treatment as an alternative. Maintaining moderate exercise such as Kegel exercises can enhance pelvic floor muscle control and avoid excessive anxiety. Pay attention to supplementing zinc, vitamin E and other nutrients in your diet, and avoid spicy and irritating foods. During treatment, partners should participate in psychological counseling together, and establishing a benign sexual feedback mechanism is more important than simply prolonging ejaculation time. If premature ejaculation is accompanied by symptoms such as frequent urination and perineal pain, organic diseases such as chronic prostatitis need to be investigated.