Selective dorsal neurectomy is a surgical treatment procedure applied to men who experience persistent premature ejaculation and have not achieved results with medication therapies. In the Selective Dorsal Neurectomy operation, certain branches of the dorsal nerves located on the upper part of the penis are selectively cut. This ensures a reduction in the hypersensitivity experienced in the glans (head of the penis). In this way, patients can extend their ejaculation time during sexual intercourse and achieve ejaculation control. This treatment, which first began to be implemented in Asian countries, comes to the agenda when behavioral therapies and medication applications fail. Operating in Adana, Özel Yaşam Merkezi has explained what needs to be known about Selective Dorsal Neurectomy, the surgical treatment for premature ejaculation.
What is Selective Dorsal Neurectomy?
Selective Dorsal Neurectomy is the process of surgically cutting a specific portion of the dorsal nerves found on the upper surface of the penis. Selective Dorsal Neurectomy reduces sensitivity in the glans and thereby extends the time to ejaculation. Hypersensitivity can lead to premature ejaculation in men. Therefore, during the surgical operation, only a portion of the nerves is cut to reduce sensory stimulation. This lowers the speed at which sexual stimulation is transmitted to the brain, allowing the ejaculation reflex to be delayed. Scientific studies on this subject show that this surgical operation provides ejaculation control and can extend the ejaculation time in patients experiencing lifelong premature ejaculation problems.
In Which Situations is Premature Ejaculation Treatment via Selective Dorsal Neurectomy Performed?
- In patients experiencing lifelong persistent premature ejaculation problems
- In cases where no results are achieved with behavioral therapy applications or medication treatments
- When local anesthetic creams and medical treatment applications do not provide benefit
- Or if the patient does not wish to use medication for long periods, selective dorsal neurectomy surgery can be utilized.
However, selective dorsal neurectomy is not considered the first option.
How is Selective Dorsal Neurectomy Surgery for Premature Ejaculation Performed?
Selective dorsal neurectomy surgery is a short-term surgical operation performed under the effect of local or general anesthesia, depending on the situation and the surgeon's preference. First, a minimal incision is made on the upper part of the penis. Subsequently, the dorsal nerves are carefully and delicately exposed. A portion of the nerve branches is selectively cut or removed from the body. The remaining nerves are preserved, preventing the penis from losing its sensitivity entirely. Afterward, the surgical incisions are closed, and the patient can be discharged from the hospital shortly after. The aim of the Selective Dorsal Neurectomy operation is not to cut all the nerves. On the contrary, it is to ensure the balance of sensory sensitivity and thereby enable the patient to regain ejaculation control.
What is the Effect and Success Rate of Selective Dorsal Neurectomy Surgery?
When the results of clinical studies on this subject are examined, they show that the selective dorsal neurectomy operation significantly resolves the problem of premature ejaculation.
Some research shows that in a portion of 65 to 85 percent of patients, the ejaculation time is significantly extended. Following the treatment, a large majority of patients state that they have achieved an increase in ejaculation control and that their level of sexual satisfaction has improved. On the other hand, in some patients, the nerves may heal again, and the premature ejaculation problem may recur in the long term.
What Are the Risks of Selective Dorsal Neurectomy?
As with every surgical operation, the selective dorsal neurectomy operation carries some risk factors within itself. To list the possible complication risks that may be encountered in the Selective Dorsal Neurectomy procedure:
- Temporary or, rarely, permanent numbness in the glans
- Wound infection
- Hematoma or bleeding
- Sensitivity in the penis
- Pain
- And rarely, erectile problems can be seen.
However, studies show that the rate of serious complications in the vast majority of cases is low. Nevertheless, it is not possible to eliminate surgical risks entirely.
What is the Recovery Process After Selective Dorsal Neurectomy Surgery?
Following the Selective Dorsal Neurectomy operation, the recovery process generally proceeds quickly. During the healing process, patients may experience slight swelling or sensitivity issues for the first few days. It is possible to return to daily life after a period of one week. Individuals must refrain from sexual intercourse for three to four weeks. A healing process of two to three months is required for the nerves to rearrange and for final results to emerge.
Using the medications prescribed by the doctor, refraining from sexual activities for a while, and meticulously following the doctor's instructions are of great importance for the recovery process.
Selective Dorsal Neurectomy Prices
The prices and costs of Selective Dorsal Neurectomy surgery, the surgical treatment for premature ejaculation, are shaped according to the expertise and experience of the surgeon, the technological equipment of the clinic, additional services, and various factors. To get up-to-date and clear information about Selective Dorsal Neurectomy prices, you can contact Özel Yaşam Merkezi, which serves its patients in Adana.
Provinces Where We Provide Selective Dorsal Neurectomy Services
Özel Yaşam Merkezi, in its Adana-based clinic, provides premature ejaculation treatment services via the selective dorsal neurectomy method to patients coming from surrounding provinces such as Mersin, Hatay, Osmaniye, Konya, Kayseri, and Gaziantep, as well as to many patients coming to our country within the scope of health tourism.
