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Surgery for Premature Ejaculation: Exploring Treatment Options

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Premature Ejaculation (PE) is when ejaculation occurs in a minute or two during intercourse. It can be distressing for individuals and impact their sexual satisfaction. 

There are various treatment options available for Premature Ejaculation. 

Certain behavioral techniques, lifestyle changes, and medications may help treat PE. 

Some individuals may consider surgical interventions for a more permanent solution.

In this article, we will explore the landscape of surgery for Premature Ejaculation and the potential risks of it.

What is Premature Ejaculation

Premature Ejaculation occurs when ejaculation happens shortly after penetration during sexual activity. 

Defining a duration for Premature Ejaculation is challenging. This is due to the difference in experiences of individuals.

If ejaculation occurs within two minutes of penetration, it is Premature Ejaculation. 

Individuals experience Premature Ejaculation unintentionally, which can be distressing.

It may develop as an acquired condition after a period of normal ejaculation

Situational Premature Ejaculation occurs only with specific partners or stimulation forms.

Surgery for Premature Ejaculation

Surgery is one of the treatment options for Premature Ejaculation

Surgery for premature ejaculation is considered a last-resort treatment option due to its invasive nature and potential risks. 

Surgical interventions are only considered when other methods have been ineffective.

The following sections will explore specific surgical techniques. such as Selective Dorsal Neurectomy and the inner condom technique.

Selective Dorsal Neurectomy (SDN)

Within the penis, many nerves contribute to sensations and communication. The dorsal nerve transmits feelings from the sensitive head of the penis. 

It also plays a crucial role in ejaculatory reflexes. 

Research on individuals with lifelong Premature Ejaculation revealed thicker and more dorsal nerves. 

And that led to heightened sensitivity. And hypersensitivity leads to an increased likelihood of Premature Ejaculation during sex. 

A Selective Dorsal Neurectomy (SDN) aims to address hypersensitivity by desensitizing the penis

By removing excess dorsal nerves, SDN can help extend ejaculation timing. It improves sexual endurance post-penetration. 

In a trial involving men with redundant foreskins underwent circumcision and SDN. 

Those with lifelong Premature Ejaculation reported better ejaculation control and increased staying power. 

SDN is a permanent procedure often preferred over medications requiring ongoing use.

Circumcision: It is a surgical procedure that involves the removal of the foreskin.  Foreskin is the fold of skin covering the head of the penis. 

Inner condom technique

Hypersensitivity is a common cause of Premature Ejaculation. And reducing sensitivity in the penis can help. 

It is achieved by implanting an inner condom into the penis. It is made of the Acellular Dermal Matrix (ADM).

ADM is a compatible material derived from the same substances as human skin. It ensures compatibility and minimizes immune responses. 

By implanting ADM, the aim is to decrease skin and membrane sensitivity in the penis. 

That will help individuals with Premature Ejaculation prolong ejaculation after penetration.

Hyaluronic Acid (HA) Gel Glans Penis Augmentation

Hyaluronic acid is known for its anti-aging benefits. It shows results in relieving Premature Ejaculation. 

Hyaluronic acid is naturally present in the skin, eyes, and connective tissue. 

When used as a safe filler for the penis, hyaluronic acid acts as a bulking agent. 

It forms a barrier between the dorsal nerve and external stimulation. 

Reducing hypersensitivity helps control the occurrence of Premature Ejaculation during sexual activity.

Risks of surgical treatments for Premature Ejaculation

Consulting a doctor regarding surgerySource: photobyphotoboy
Consult a doctor regarding surgery

Surgical treatments for Premature Ejaculation are not widely practiced in most countries. 

The International Society for Sexual Medicine does not endorse Selective Dorsal Neurectomy. 

It does not endorse penis augmentation with hyaluronic acid as a treatment for PE. 

One reason for disapproving surgery for PE is the risk of permanent loss of sexual function. 

The lack of studies and data on the effectiveness and safety of surgery further deters their use.

Several complications are associated with Selective Dorsal Neurectomy (SDN) and other surgical procedures. 

For example:

Improper methods of injections can lead to poor blood flow to the penile tissue. It may result in cell death. 

But, individuals considering surgical interventions should know the potential complications.

Consulting a doctor is crucial to get detailed guidance about treatment options.

Other treatments for Premature Ejaculation

The safety and effectiveness of surgery for Premature Ejaculation are still under debate. 

But, alternative treatment methods have gained popularity for managing this condition. These include pelvic floor exercises, topical creams, Premature Ejaculation pills, and more.

Pelvic floor exercises

Exercises are considered an effective option for managing PE

Pelvic floor exercises or kegel exercises effectively address Premature Ejaculation.

It manages ejaculatory reflexes and increases the time it takes for men to climax. 

Research demonstrates their efficacy in improving sexual stamina.

To perform pelvic floor exercises, start by identifying the correct muscles. 

You can achieve this by pausing the flow of urine mid-stream. You can also do it by tightening the muscles responsible for controlling gas. 

After identifying the pelvic floor muscles, contract them for three seconds. After that, relax for another three seconds. 

As the muscles grow stronger, gradually increase the duration of the contractions.

To maximize the benefits, try performing the exercises in different positions, such as standing, walking, or sitting down. 

Pelvic floor exercises provide a natural and active way to enhance sexual stamina. It helps regain control over intimate experiences. 

Individuals can take proactive steps toward overcoming PE by engaging in these exercises.

Are you wondering how kegel exercise helps with PE? To learn everything about kegel exercises for PE, read Kegel Exercises for Premature Ejaculation: Do They Help in Treating PE?

Premature Ejaculation pills

Taking pillSource: towfiqu_ahamed_barbhuiya
Taking pill

Apart from exercises, there are various PE medications that can help delay ejaculation.

Antidepressants offer an alternative treatment option for PE. It delays ejaculation and improves sexual performance along with sexual performance anxiety

Selective Serotonin Reuptake Inhibitors (SSRIs) are used to treat Depression. However, a 2007 study demonstrated SSRIs like Fluoxetine or Paroxetine help with PE.

Due to their side effect, Delayed Ejaculation, they are considered effective in treating PE

But, you must be aware that SSRIs have other potential side effects, although generally mild. These medications can affect various aspects of well-being. 

Thus, discuss their use with a doctor before initiating treatment to ensure safety.

Dapoxetine is a specific SSRI medication developed for Premature Ejaculation treatment. It holds promise as a potential solution for individuals experiencing this condition. 

While it is not yet FDA-approved, Dapoxetine is designed to address Premature Ejaculation. It helps individuals manage and overcome the associated challenges.

Besides Paroxetine and Dapoxetine, Sertraline is also known to manage PE. To know more about using Sertraline for PE, read Sertraline for Premature Ejaculation: Is It An Effective Treatment?

Quick Checkout:
You can manage Premature Ejaculation with prescription medications. Buy your medication from CheapMedicineShop effective results:

  • Duratia 30 mg
  • Vriligy 60 mg
  • Poxet 90 mg
  • Topical creams

    Topical creams manage Premature Ejaculation by reducing sensation and delaying climax. 

    Applying these creams to the penis 10 to 15 minutes before intercourse helps. 

    A 2017 study found that topical creams increased the duration before ejaculation. 

    But, these creams can have side effects. Such as mild pain, burning sensations, decreased libido, and temporary loss of sensitivity.

    Knowing if Premature Ejaculation surgery is right for you

    When it comes to sex, nobody wants to finish too early. So people seek treatment options for Premature Ejaculation.

    There are various methods to manage this condition. But surgery for Premature Ejaculation is gaining recognition. 

    Suppose you prefer less-invasive approaches to control Premature Ejaculation.

    In that case, our article How to Stop Premature Ejaculation: Treatment Options is worth reading.

    Frequently Asked Questions

    How can I cure Premature Ejaculation?

    Premature Ejaculation can be managed through various approaches. Such as behavioral techniques, counseling, medications, and therapies.

    What are the best medicines for Premature Ejaculation?

    Selective Serotonin Reuptake Inhibitors like Dapoxetine are medicines for Premature Ejaculation. 

    Can Premature Ejaculation be cured at home?

    Certain exercises, such as pelvic floor exercises, can be practiced at home. It can help to improve control over ejaculation. You can use topical creams and Premature Ejaculation pills to treat the condition.

    What causes Premature Ejaculation?

    Psychological factors can cause Premature Ejaculation. The factors may be relationship issues, anxiety, stress, or underlying medical conditions. Identifying and addressing the root causes is essential for effective treatment.

    Is Premature Ejaculation a permanent condition?

    Premature Ejaculation is not a permanent condition. Treating underlying causes can improve sexual performance and ease symptoms of PE. Consulting a doctor to determine the best approach to manage Premature Ejaculation.

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    Photo of author Janet Fudge
    Jim Carson is a highly skilled and dedicated medical writer passionate about advancing medical practice. With years of experience in the field of medical sciences, Jim has made significant contributions to various studies aimed at improving healthcare outcomes. He currently writes for, providing expert insights and knowledge on various topics. Jim's expertise extends to various areas, including drug interactions, dosages, side effects, and best practices for medication use. In Los Angeles, Jim lives with his loving wife, children, and beloved pets. He deeply values spending time with his family and cherishes their presence. When he's not writing, Jim enjoys watching football games and staying updated with the latest sports news. Jim's writing shines through his commitment to advancing medical practice and improving healthcare outcomes. Readers can trust Jim's articles to be informative, accurate, and reliable, making him a trusted pharmaceutical information source for the website's audience.
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