CN105615932A - Selective setting-off micro-control operation for deep dorsal veins of penis - Google Patents

Abstract

The invention discloses a selective setting-off micro-control operation for deep dorsal veins of the penis. The operation comprises the following steps: 1, conventional disinfection is performed with a 0.5% iodophor solution, and a sterile operation towel is laid; 2, after nerve blocking anesthesia on the root of the penis takes effect, a 2.5 cm incision is incised transversely on the back side of the penis, shallow fascia and deep fascia are sequentially incised, the root of the penis and albuginea are sufficiently exposed, three longitudinal deep dorsal veins are separated bluntly, and double selective segmented setting-off ligation is performed at the root of the penis with a 1# filament; 3, collateral veins on two sides of the penis are sequentially sutured, and pronation veins are sutured one by one; 4, airtight hemostasis is performed again, the deep fascia and shallow fascia are subjected to interrupted suturing with a 5-0 absorption line, and interrupted suturing is performed on the skin incision with the same line. The operative wound is small, the operation time is short, the operation is safe, a patient cannot feel pain, bleeds a little, recovers quickly after the operation and has high anti-infection capacity, and the treatment effect is ideal.

Description

Deep dorsal vein of penis selectivity cutout micro-control art

Technical field

The present invention relates to andrology's medical field, be specifically related to deep dorsal vein of penis selectivity cutout micro-control art.

Background technology

Premature ejaculation is modal Ejaculatory dysfunction, and sickness rate accounts for more than the 1/3 of man. The definition of premature ejaculation is still disputable, and the frequency generally come to orgasm in sexual intercourse with the ejaculation latency of male or women is evaluated, as with male's ability of ejaculation out of hand when sexual intercourse, then penis inserts before vagina or just inserted i.e. ejaculation for standard; Or the frequency come to orgasm in sexual intercourse with women less than 50% for standard to define premature ejaculation, but these are not all universally accepted. Because the ejaculation latency of male is affected by factors such as age, abstinence time length, health, Sentimental psychologies, the Frequency of female orgasm is also affected by factors such as condition, emotion change, surroundings. It addition, the length of ejaculation latency time also has individual variation, it is considered that, healthy male inserts vagina at penis and ejaculates for 2��6 minutes, is normal. But still have part male exist when having sexual intercourse repeatedly be introduced into companion's vagina just let out essence phenomenon, this kind of situation can be diagnosed as premature ejaculation.

It is now recognized that the cause of disease of premature ejaculation is more than psychological and penis locality factor, it is also contemplated that the systemic disease factors such as urinary system, endocrine and nerve. Treatment for premature ejaculation, there is traditional psychotherapy, it is prolongation ejaculation latency during sexual intercourse, thinking to be turned in other such as diet, the attempt delay ejaculation such as play incubation period, or use condom, the method such as drink, but this Therapeutic Method poor effect, but often resulting in hyposexuality, voluptus obstacle on the contrary, even can causing erection disturbance etc., thus increasing the weight of the state of an illness. It is short that spongy body drug injection therapy maintains the cycle, and the therapeutic method of surgery that penile prosthesis is implanted is relatively big to patient trauma, is unfavorable for promoting.

Summary of the invention

The invention aims to overcome the shortcoming and defect of prior art, it is provided that have that operation wound is little, operating time is short, safety is painless, go out insufficiency of blood, post-operative recovery is fast, anti-infection ability is strong, the desirable deep dorsal vein of penis selectivity cutout micro-control art of therapeutic effect.

Deep dorsal vein of penis selectivity cutout micro-control art, comprises the following steps:

6.. patient takes dorsal position, carries out routine disinfection with 0.5% iodophor solution, spreads aseptic operation towel;

7.. after radix penis part nerve block anesthesia is effective, it is about 2.5cm in penis dorsal part transection, cuts shallow, deep fascia successively, fully expose radix penis part and tunica albuginea, blunt separation goes out stringer back of the body Deep venou 3, at radix penis part with 1# silk thread double selectivity segmentation cutout ligation;

8.. successively the Collateral vein of penis both sides is tied again, and tie rotation vein one by one;

9.. again tightly stop blooding, then with 5-0 absorbable thread interrupted suture depth fascia, collinear interrupted suture skin incision;

10.. bind up a wound with oil yarn and aseptic dressing.

As the further scheme of the present invention, described step 5. after, also include the convalescence after Miles operation, convalescent period needs intravenous drip normal saline, ceftazidime and Tinidazole Injection after surgery, and intravenous drip every day once, is used in conjunction five days.

As the further scheme of the present invention: intravenous drip 0.9% normal saline 250ml, ceftazidime 3g and Tinidazole Injection 100ml �� 2 every time.

The invention has the beneficial effects as follows, carry on the back nerve just for the sensitivity outside cavernosus and block, not injured nerve and blood vessel, thus without influence on function of male and fertility. This method can accurately find Sensitive nerve accurately, reduces balanic sensitivity, while improving life quality, effectively prevent side effect produced by traditional remedies. The present invention is easy and simple to handle, have the advantages that operation wound is little, operating time is short, safety is painless, post-operative recovery is fast, anti-infection ability is strong, can effectively solve the problem because the love life that male's Primarily ejaculation praecox problem causes is discord, substantially improve love life quality.

Detailed description of the invention

Below in conjunction with the embodiment of the present invention, the technical scheme in the embodiment of the present invention is clearly and completely described, it is clear that described embodiment is only a part of embodiment of the present invention, rather than whole embodiments. Based on the embodiment in the present invention, the every other embodiment that those of ordinary skill in the art obtain under not making creative work premise, broadly fall into the scope of protection of the invention.

Embodiment 1

Patient's name: hole XX, sex: man, age: 31 years old. On March 5th, 2015 because of penis anorthosis, sex partner is dissatisfied and comes the court and goes to a doctor, after testing, for erectile disfunction. Determine to be in hospital and do deep dorsal vein of penis selectivity cutout micro-control art.

(1), operation process: patient takes dorsal position, visual area 0.5% povidone iodine routine disinfection, spreads aseptic operation towel. After radix penis part nerve block anesthesia is effective, it is about 2.5cm in penis dorsal part transection, cutting shallow, deep fascia successively, fully expose radix penis part and tunica albuginea, blunt separation goes out stringer back of the body Deep venou 3, at radix penis part with 1# silk thread double selectivity segmentation cutout ligation, successively the Collateral vein of penis both sides is tied again, and tie rotation vein one by one, again tightly stop blooding, 5-0 absorbable thread interrupted suture depth fascia again, collinear interrupted suture skin incision. Binding up a wound with oil yarn and aseptic dressing, operation terminates. Operation process is smooth, and intraoperative hemorrhage is few, and anaesthetic effect is good. Patient safety is sent operating room, postoperative continuation symptomatic treatment.

(2), the convalescence after Miles operation medication:

0.9% normal saline 250ml intravenous drip one times/day

Ceftazidime 3g

Tinidazole Injection 100ml �� 2 intravenous drip one times/day

Use medicine 5 days continuously;

(3), post-surgical condition: postoperative through antibiotic application and dressing change, wound healing after 7 days, postoperative process up to 6-8 month tracking follow up a case by regular visits to, erection is good, and love life satisfaction is high, without other complication.

It is obvious to a person skilled in the art that the invention is not restricted to the details of above-mentioned one exemplary embodiment, and when without departing substantially from the spirit of the present invention or basic feature, it is possible to realize the present invention in other specific forms. Therefore, no matter from which point, embodiment all should be regarded as exemplary, and be nonrestrictive, the scope of the invention rather than described above limits, it is intended that all changes in the implication of the equivalency dropping on claim and scope included in the present invention.

In addition, it is to be understood that, although this specification is been described by according to embodiment, but not each embodiment only comprises an independent technical scheme, this narrating mode of description is only for clarity sake, description should be made as a whole by those skilled in the art, and the technical scheme in each embodiment through appropriately combined, can also form other embodiments that it will be appreciated by those skilled in the art that.

Claims (3)

1. deep dorsal vein of penis selectivity cutout micro-control art, it is characterised in that comprise the following steps:

1.. patient takes dorsal position, carries out routine disinfection with 0.5% iodophor solution, spreads aseptic operation towel;

2.. after radix penis part nerve block anesthesia is effective, it is about 2.5cm in penis dorsal part transection, cuts shallow, deep fascia successively, fully expose radix penis part and tunica albuginea, blunt separation goes out stringer back of the body Deep venou 3, at radix penis part with 1# silk thread double selectivity segmentation cutout ligation;

3.. successively the Collateral vein of penis both sides is tied again, and tie rotation vein one by one;

4.. again tightly stop blooding, then with 5-0 absorbable thread interrupted suture depth fascia, collinear interrupted suture skin incision;

5.. bind up a wound with oil yarn and aseptic dressing.

2. deep dorsal vein of penis selectivity according to claim 1 cutout micro-control art, it is characterised in that described step 5. after, also include the convalescence after Miles operation, convalescent period needs intravenous drip normal saline, ceftazidime and Tinidazole Injection after surgery, and intravenous drip every day once, is used in conjunction five days.

3. deep dorsal vein of penis selectivity according to claim 2 cutout micro-control art, it is characterised in that intravenous drip 0.9% normal saline 250ml, ceftazidime 3g and Tinidazole Injection 100ml �� 2 every time.