Selective Dorsal Neurectomy for the Treatment of Premature Ejaculation
Premature ejaculation is one of the most common sexual dysfunctions in men and is usually caused by psychological, biological, or a combination of both. Treatment options include medications, behavioral therapies, glans fillers, and interventional procedures such as surgery. Selective dorsal neurectomy (SDN), one of these methods, offers an effective solution, particularly in cases of extreme sensitivity.
What is Selective Dorsal Neurectomy?
Selective Dorsal Neurectomy (SDN) is a modern and effective microsurgical procedure used to address premature ejaculation in men who are unresponsive to medication. In this technique, a portion of the nerve branches that cause penile hypersensitivity are carefully selected and severed. This prolongs the time to ejaculation and allows for the duration of intercourse to be controlled.
SDN is a suitable option for men who have had lifelong premature ejaculation problems and are not benefiting from medical treatments and are looking for a solution.
Evaluation of the Patient
Before treatment, the patient's premature ejaculation type (lifelong or acquired) and sexual history are learned.
The patient's penile sensitivity is measured with a sensiometer device.
Uygulama
İşlem mikroskop ve özel cerrahi tekniklerle yapılır.
Penisin üst kısmındaki duyusal sinir dalları detaylı olarak incelenir.
Gereksiz hassasiyete neden olan sinirler seçici olarak kesilir.
Diğer sinir yapıları ve damarları korunarak fonksiyonları devam ettirilir.
Clinical Efficacy
SDN is an effective method, especially in patients with extreme penile shaft sensitivity.
Studies have shown that this procedure can prolong ejaculation time up to 5 times and increase patient satisfaction.
Advantages
Significantly prolongs the duration of premature ejaculation
It is a permanent and effective solution
Penile sensation is not completely lost, only hypersensitivity is reduced.
Can be easily applied with local anesthesia
Returning to normal life is possible in a short time
To Whom Should It Be Applied?
Patients who do not respond to medications or do not want to take medications.
Men with high penile sensitivity and primary (lifelong) premature ejaculation problems.
Patients who do not benefit from behavioral therapies.
Conclusion
SDN is an effective and safe option for treating premature ejaculation. Its minimally invasive nature ensures both patient satisfaction and improves the quality of sexual life. A detailed patient evaluation and a specialist's opinion are recommended before considering it as a treatment option.