The symptoms of impotence are impotence without lifting, lifting without firmness, firmness but not long. The symptoms of premature ejaculation are ejaculation too fast and poor ejaculation control ability. The main causes of impotence and premature ejaculation are anxiety, depression, cardiovascular disease, endocrine abnormalities and nerve damage, etc. Prostatitis is not an important inducement. At present, the treatment of impotence and premature ejaculation is mainly oral medicine, and other therapies include vacuum device, cavernous injection and surgery.
Prostatitis is a common disease in young men. About 50% of men have had symptoms of prostatitis at different stages of their lives, and most patients do not need treatment. In addition to the symptoms of lower urinary tract such as poor urination, inexhaustible urination, frequent urination, urgency of urination and difficulty in urination, as well as the symptoms of pain in the perineum, penis and suprapubic region, some patients with prostatitis also have the symptoms of sexual dysfunction, including decreased libido, impotence and premature ejaculation.
The "Guidelines for the Diagnosis and Treatment of Prostatitis in China" formulated by the Urology Branch of the Chinese Medical Association based on a large number of international and domestic medical literature evidence and expert experience clearly states that "some patients with prostatitis may have symptoms of sexual dysfunction such as anorexia, erectile dysfunction (impotence) and premature ejaculation, but there is no evidence that prostatitis directly causes sexual dysfunction".
At present, some doctors over-diagnose prostatitis, exaggerate its harm, and link all impotence and premature ejaculation with prostatitis. Subsequently, the excessive treatment of prostatitis for economic benefits, ignoring the diagnosis and treatment of sexual impotence and premature ejaculation, resulted in a waste of patients' money and delayed the disease. This concept should be changed.
In the outpatient service, most patients are treated for sexual dysfunction (impotence, premature ejaculation, etc.), and there is no prostatitis or its symptoms are not obvious, so the treatment should be targeted. Therefore, those with impotence and premature ejaculation as the main manifestations should receive targeted treatment directly, without having to treat prostatitis.