Treatment for Premature Ejaculation

Premature ejaculation is a common male sexual dysfunction defined as ejaculation occurring sooner than the individual would like during sexual intercourse, resulting in dissatisfaction for either the individual or their partner.

Occasional premature ejaculation may be considered normal. However, when this becomes a persistent problem, it can have a negative impact on a person’s self-confidence, their relationship with their partner and their quality of life.

Nowadays, premature ejaculation can be successfully managed through accurate diagnosis and personalised treatment approaches.

Who Is Affected by Premature Ejaculation?

Premature ejaculation can occur at any age, but it may be more common in the following situations:

It is of the utmost importance to identify the underlying causes before drawing up a treatment plan.

Types of Treatment for Premature Ejaculation

Penile Head Augmentation (Glans Augmentation)

Penile head augmentation (glans augmentation) is a minimally invasive procedure involving the injection of biocompatible filler material into the head of the penis. The aim of the procedure is to increase the volume of the penile head in suitable patients and, in some cases, to reduce excessive sensitivity, thereby aiding ejaculatory control during sexual intercourse.

The procedure does not require a surgical incision and is usually carried out on an outpatient basis.

Selective Dorsal Cryoablation Treatment

Selective Dorsal Cryoablation is a minimally invasive procedure for the treatment of premature ejaculation, which aims to target the sensory nerve branches on the dorsal (back) side of the penis through the controlled application of cold (cryoablation)..

The primary aim of the procedure is to help improve ejaculatory control by reducing hypersensitivity of the penis. During the procedure, the targeted nerve branches are frozen in a controlled manner, thereby temporarily or partially reducing nerve transmission.

Selective Dorsal Neurectomy

Selective Dorsal Neurectomy (SDN) is a surgical treatment option that can be performed on selected patients who have a lifelong (primary) condition of premature ejaculation and who have not derived sufficient benefit from conservative treatments.

In this procedure, specific branches of the dorsal nerve—which provides sensation to the penis—are selectively severed or repositioned using microsurgical techniques. The aim is to reduce hypersensitivity at the tip of the penis and help prolong the time to ejaculation.

The procedure is not intended to render the penis completely numb, but merely to reduce excessive sensitivity in a controlled manner.