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Surgery for Premature Ejaculation: What You Need to Know

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Written by- Julian Carter
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Premature Ejaculation is a common sexual disease in which a man ejaculates during sexual activity sooner than desired. 

It is distinguished by an inability to postpone ejaculation, resulting in losing control over ejaculation time.

The precise reason for Premature Ejaculation is unknown.

Premature Ejaculation may harm the individual and their partner, causing irritation, embarrassment, and decreased sexual satisfaction.

Treatment for Premature ejaculation may include behavioral approaches, psychological counseling, and, in certain situations, medication.

But sometimes, in severe cases, doctors use surgical interventions to treat Premature Ejaculation.

Let’s dive into detail about surgery to fix Premature Ejaculation and its potential risks.

Waht is Premature Ejaculation

Premature Ejaculation (PE) is a type of Sexual Dysfunction that can negatively impact a person’s ability to have satisfying sexual encounters. 

It occurs when an orgasm or “climax” happens earlier than expected.

PE is a prevalent sexual condition affecting around 20–30% of males. 

The primary sign of PE is a consistent inability to postpone ejaculation for longer than a minute following penetration during intercourse.

The exact cause of Premature Ejaculation isn’t known. 

It is thought to result from several biological and psychological factors, including certain medications, hormonal imbalances, Anxiety, etc.

Premature Ejaculation may be annoying and make your sexual experiences less satisfying for you and your partner. 

But the good news is that it is treatable.

Some effective treatments include medicines, behavioral techniques, pelvic floor exercises, using condoms or desensitizing creams, and counseling.

In certain severe cases, doctors may opt for surgery for permanent treatment.

Suggestion:
If you are concerned about Premature Ejaculation, it is best to initially try non-surgical treatments such as behavioral strategies, psychological counseling, and medications.

Surgical treatment for Premature Ejaculation

For the treatment of Premature Ejaculation, surgery is not regarded as primary or first-line therapy. 

It is usually reserved for patients that haven’t responded to more conservative approaches like medicine or counseling. 

In addition, when other underlying medical disorders have been ruled out or addressed, doctors may choose surgery for Premature Ejaculation treatment. 

Surgical treatments for Premature Ejaculation are uncommon and thought to be more invasive.

Selective Dorsal Neurectomy (SDN) and Inner Condom Technique are the two commonly used surgical treatments for Premature Ejaculation.

Apart from this, Cryoablation, and Radiofrequency, and Hyaluronic Acid (HA) Gel Glans Penis Augmentation are are also widely used best surgery for Premature Ejaculation.

Warning:
Surgery for treating Premature Ejaculation is a highly invasive procedure. It can lead to post-surgery side effects. 

Selective Dorsal Neurectomy (SDN)

SDN (Selective Dorsal Neurectomy) is a surgical technique to cure specific forms of Premature Ejaculation. 

It entails altering specific nerves in the penis to lower sensitivity and postpone ejaculation.

The surgeon finds and targets the dorsal nerves involved in sending sexual feelings from the penis to the brain during an SDN

The goal of altering or cutting these nerves is to lessen the intensity of sexual arousal and lengthen the duration of ejaculation.

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Inner Condom Technique

Since hypersensitivity is a known factor in Premature Ejaculation, this PE therapy also seeks to lessen sensitivity in the penis.

To do this, an inner condom constructed of the acellular dermal matrix (ADM) is placed into the penis. 

ADM is implanted into the penis to lessen skin sensitivity and penile membrane sensitivity, which may assist PE patients in prolonging ejaculation after penetration.

Cryoablation and Radiofrequency

Cyrotherapy treatmentSource: RossHelen
Cyrotherapy treatment

Cryoablation is a procedure that employs extremely low temperatures to remove or kill aberrant or diseased tissue. It is often referred to as Cryotherapy or Cryosurgery. 

It is feasible to lessen the penis’ hypersensitivity and its reactivity to signals of sexual input by administering this treatment to its dorsal nerves.

High-frequency electrical currents are heated to eliminate aberrant or diseased tissue in the Radiofrequency Ablation (RFA) procedure. 

It is frequently employed to control pain.

However, this minimally invasive treatment can also control the sensitivity and activity of the dorsal penile nerves. 

It is done by sending electromagnetic waves to the nerves.

Hyaluronic Acid (HA) Gel Glans Penis Augmentation

Hyaluronic acid (HA) gel is frequently used for volume expansion and face rejuvenation in cosmetic operations.

While HA gel may be applied to numerous body parts, including the penis, it is not a standard or well-established process.

The glans penis is the rounded tip of the penis, and any surgery involving it should be addressed cautiously owing to its sensitivity and possible hazards. 

When the hyaluronic acid filler is injected into the penis, the substance is a bulking agent, blocking the dorsal nerve from stimulation from outside sources.

This can lessen hypersensitivity and limit the possibility of early ejaculation during sex.

The use of augmentation techniques in this field is not universally accepted, and there may need to be more scientific data to support their safety, efficacy, and long-term effectiveness.

Risks associated with a surgical procedure for Premature Ejaculation

Surgical procedures for Premature Ejaculation are uncommon and usually reserved as a last option after all other failed treatments.

Their long-term efficacy and results for Premature Ejaculation remain unknown.

Surgical methods for Premature Ejaculation, such as Selective Dorsal Neurectomy (SDN), can be risky and cause problems. 

These might differ based on the technique and individual circumstances. 

The following are some of the risks linked with surgical treatment for Premature Ejaculation:

  • Decreased penile sensation
  • Erectile Dysfunction
  • Post-operative pain and discomfort
  • Infection at the surgical site
  • Scarring
  • Bleeding
  • Anesthesia risks

If you are considering surgical intervention for Premature Ejaculation, you should consult with a certified expert or urologist first. 

They can thoroughly examine the potential risks and advantages and help you make a wise choice based on your unique circumstances.

Other methods for treating Premature Ejaculation

Consult urologist for proper advice and assistance
Consult urologist for proper advice and assistance

Instead of surgical procedures for Premature Ejaculation, non-surgical treatments such as behavioral approaches are frequently tried first because of their efficacy and reduced risk profile.

Medicines and psychiatric counseling are also used to overcome the symptoms of Preamture Ejaculation.

Antidepressant medications like Sertraline, Paroxetine, or Fluoxetine are frequently used off-label to assist in delaying ejaculation. 

However, they may cause side effects. Therefore, it’s essential to consult with a doctor before having them.

In addition to these oral pills, to lessen sensitivity and postpone ejaculation, creams, gels, or sprays containing numbing agents like Lidocaine or Prilocaine can be administered to the penis.

It is essential to consult a certified healthcare provider before copying for any treatment for Premature Ejaculation.

Recommended read: Does Viagra Help With Premature Ejaculation: Understanding The Effectiveness.

Conclusion

Surgery for Premature Ejaculation is not considered a primary or first-line therapy option. 

It is usually reserved for situations that have failed to react to more conservative approaches. 

Some of the most often utilized effective surgical treatment procedures for Premature Ejaculation are Selective Dorsal Neurectomy (SDN), Inner Condom Technique, Cryoablation and Radiofrequency, and Hyaluronic Acid (HA) Gel Glans Penis Augmentation.

However, it is essential to remember that surgical therapies for Premature Ejaculation are uncommon and underutilized. 

They are more intrusive and may result in risks and problems such as diminished penile feeling, Erectile Dysfunction, discomfort, infection, and scarring.

Recommended Article:
Worried about your sexual performance?
Read our article- Causes of Premature Ejaculation in Men, to know the culprit of your condition.

Frequently Asked Questions

Can surgery cure Premature Ejaculation?

Surgery is not considered a cure for Premature Ejaculation. 

Premature Ejaculation is a complicated disorder, including both psychological and physiological aspects. 

Surgery, such as Selective Dorsal Neurectomy (SDN), may be utilized in rare circumstances where other therapies have failed and underlying medical issues have been treated

What is the surgical success rate for Premature Ejaculation?

It is difficult to establish an exact success rate due to the scarcity of data and studies on the long-term effectiveness of surgical therapies for Premature Ejaculation. 

Furthermore, success rates might be subjective since they are affected by factors such as the definition of success (e.g., greater ejaculation time, enhanced sexual pleasure) and individual patient experiences.

What are the possible risks and consequences of the surgical procedure for Premature Ejaculation?

Some potential risks associated with surgical treatment for Premature Ejaculation include decreased penile sensation, Erectile Dysfunction, post-operative pain, and infection at the surgical site. 

It can also lead to scarring, bleeding, and anesthesia risks.

Is there an alternate therapy for Premature Ejaculation that does not entail surgery?

Yes, there are non-surgical therapies available for Premature Ejaculation. 

Medication, behavioral approaches, and counseling are examples of non-surgical therapy alternatives.

How long do the effects of the surgical treatment for Premature Ejaculation typically last?

The length of the effects of surgical therapy for Premature Ejaculation might vary based on the method used and personal circumstances. 

In rare cases, surgical treatment may have a long-term or permanent impact, especially if nerves are manipulated or severed to lessen penile sensitivity. 

Individual reactions can vary, and long-term studies are scarce on the results of surgical operations on Premature Ejaculation.

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