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你好，患者第一次性生活时间短，导致这个的原因很多的，例如第一次紧张，其次的话则是为配合不好。目前的包茎手术一般指包皮环切术。通常情况下，包皮环切术后如果伤口较小，患者不用浸泡在水中；但如果伤口较大从您的描述来看不是阳痿和早泄，是手淫�

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