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 medication, behavioral therapies, glans filling applications, and interventional methods such as surgical interventions. One of these methods, selective dorsal neurectomy (SDN), offers an effective solution, especially in cases where sensitivity is extreme..
What is Selective Dorsal Neurectomy?
Selective Dorsal Neurectomy (SDN) is a modern and effective microsurgical method used to solve the problem of premature ejaculation in men who do not respond to drug treatment. In this technique, a portion of the nerve branches that cause hypersensitivity of the penis are carefully selected and cut. In this way, the ejaculation time is extended and the duration of sexual intercourse can be controlled.
SDN is a suitable option especially for men who have lifelong premature ejaculation problems, who do not benefit from medical treatments and who 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.
How to Apply?
The procedure is performed with a microscope and special surgical techniques.
The sensory nerve branches on the upper part of the penis are examined in detail.
The nerves that cause unnecessary sensitivity are selectively cut.
Other nerve structures and vessels are preserved and functions are continued.
Clinical Efficacy
SDN is an effective method, especially in patients with extreme penile shaft sensitivity.
Studies have shown that this procedure can extend the 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
It can be applied comfortably with local anesthesia
Return to normal life is possible in a short time
Who is it suitable for?
Patients who do not respond to medication or do not want to use medication.
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 the treatment of premature ejaculation. With its minimally invasive structure, it provides both patient satisfaction and increases the quality of sexual life. Before being considered as a treatment option, it is recommended to obtain a detailed patient evaluation and expert physician opinion.