A Closer Look at Dorsal Neurotomy: A Surgical Approach for Premature Ejaculation

Table of Contents

• What Is Premature Ejaculation?

• The Causes Behind PE

• What Is Dorsal Neurotomy?

• What to Expect During the Procedure

• Post-Surgery Care

• Why Consider Dorsal Neurotomy in Bangkok?

• Final Thoughts

  
  

For many men, premature ejaculation (PE) is a frustrating condition that can affect their confidence and intimate relationships. The struggle to control ejaculation can lead to feelings of embarrassment, which may even cause some men to avoid sexual intimacy altogether. While PE is common, there are effective solutions available—and for some, dorsal neurotomy could be the answer.

What Is Premature Ejaculation?

Premature ejaculation occurs when a man ejaculates sooner than desired during sexual activity, often within just a couple of minutes of penetration or sometimes even before. There are two main types of PE:

1. Lifelong PE: This type has been present since the first sexual encounter and usually stems from biological factors, such as an overactive penile nerve sensitivity.

2. Acquired PE: This develops later in life, often due to psychological stress, anxiety, or underlying medical conditions like erectile dysfunction or prostatitis.

Men who experience PE often report a lack of satisfaction during sexual activity, which can lead to stress and tension in their relationships. In most cases, the average time from penetration to ejaculation for men without PE is around 5-7 minutes. However, men with PE may ejaculate in less than two minutes, which can make them feel self-conscious and anxious about future sexual experiences.

Read more info about : Premature Ejaculation

The Causes Behind PE

PE can result from a combination of factors—some physical, others psychological. Some of the more common causes include:

• Hormonal Imbalances: Low serotonin levels in the brain can speed up the ejaculation process.

• Medical Conditions: Chronic health issues such as diabetes, thyroid disorders, or prostate inflammation can interfere with normal sexual function.

• Emotional Factors: Anxiety, depression, or performance-related stress can trigger PE in situations where a man feels pressure to perform.

  
  

What Is Dorsal Neurotomy?

If you’ve tried other treatments like medications, therapy, or topical creams with little success, you may be interested in learning more about dorsal neurotomy. This surgical procedure offers a targeted solution for men whose PE may be caused by heightened sensitivity in the penile nerves.

Dorsal neurotomy works by cutting specific nerve endings in the penis to reduce sensitivity, which helps delay ejaculation. The goal is to extend the time to climax, allowing for a more satisfying sexual experience.

How Does It Work? During the procedure, a surgeon carefully cuts part of the dorsal nerve, the nerve responsible for transmitting sensory signals from the penis to the brain. By reducing sensation in the penile head, it becomes easier to control ejaculation, which can increase the duration of intercourse by up to 8-10 times. Results typically last around six months, after which some sensation may gradually return. In this time, regular sexual activity is recommended to help "train" the body and mind to better control ejaculation.

What to Expect During the Procedure

Dorsal neurotomy is a minor surgery typically performed under local anesthesia. Here’s what you can expect:

• Anesthesia: A local anesthetic is injected to numb the base of the penis.

• Surgery: A small incision is made near the base of the penis, where the surgeon will access and sever a portion of the dorsal nerve.

• Recovery: The entire procedure takes around 30-60 minutes, and you’ll be able to go home the same day.

Patients are generally advised to rest for several days following the surgery and to avoid sexual activity for at least two weeks. Most men find that the incision heals quickly with minimal scarring, similar to a circumcision.

Is Dorsal Neurotomy Right for You?

Before considering surgery, it’s important to explore less invasive treatments first, such as behavioral therapy, prescription medications, or topical anesthetics. However, if these options haven’t worked for you and PE continues to negatively impact your life, dorsal neurotomy could be a suitable option.

As with any surgery, there are risks to consider, including potential loss of sensation in the penis, scarring, and the possibility that PE may return over time. It’s crucial to discuss your symptoms and medical history with a urologist who can assess whether this procedure is right for you.

Post-Surgery Care

After your dorsal neurotomy, taking care of your body is essential to a smooth recovery. Follow these guidelines:

• Rest for 3-7 days before returning to work or other daily activities.

• Avoid smoking and alcohol consumption for at least one week before and after surgery.

• Abstain from sexual activity until the incision is fully healed, which usually takes about two weeks.

• Keep the surgical area clean, using sterile saline and gauze to reduce the risk of infection.

Why Consider Dorsal Neurotomy at Menness, Bangkok?

Dorsal neurotomy has been shown to significantly improve sexual performance by reducing penile sensitivity, helping men achieve longer-lasting and more satisfying intercourse. Though the effects are temporary, typically lasting around six months, this time allows men to gain better control over ejaculation, boosting confidence and enhancing intimacy. If you’re looking for a proven, effective solution to premature ejaculation, Menness Clinic in Bangkok offers this procedure with experienced urologists and cutting-edge techniques, ensuring you receive expert care in a comfortable environment.

Final Thoughts

Premature ejaculation can be a difficult issue to face, but there’s no need to suffer in silence. Dorsal neurotomy is a highly effective surgical option for men who want to regain control over their sexual experience and enhance intimacy with their partner.

If you're struggling with PE and think this procedure might be right for you, it's important to consult with a healthcare provider who specializes in sexual health.

Your journey toward a more fulfilling and confident sexual experience is just a conversation away.