Causes of and treatment for premature ejaculation
Premature ejaculation refers to ejaculating within a short time during sexual intercourse without being able to satisfy a partner. For example, just like how our heart rate is controlled by the autonomic nervous system, the penile cavernous nerves related to erection are also governed by the autonomic nervous system.
The main causes of premature ejaculation include psychological trauma, dysfunction in the central and peripheral nervous systems, excessive alcohol consumption, smoking, and various other factors. The primary treatment methods for premature ejaculation are as follows:
- 1
Dorsal Penile Nerve Block: The most effective premature ejaculation surgery method, which blocks the dorsal nerve to control the sensitivity of the glans.
- 2
Penile Augmentation: About 30% of patients experience delayed ejaculation time as a result of penile enlargement.
- 3
Medication therapy: Applying numbing creams or sprays to the glans to temporarily dull its sensitivity.
- 4
Behavioral Therapy: Repeatedly training to stop stimulation when the penis is aroused and the feeling of climax is approaching.
Dorsal penile nerve block is a representative surgery for premature ejaculation
Many premature ejaculation patients have shown that the sensitivity of the glans is particularly higher compared to others. Dorsal penile nerve block is the most effective surgery for delaying ejaculation time by blocking the dorsal nerve, which is responsible for sensory nerves, thereby controlling the sensitivity of the glans.
For example, if a numbing cream mixed with anesthetics is applied to the glans and sexual activity is performed, a delay in ejaculation time can be observed. Based on this principle, dorsal penile nerve block is performed by cutting some of the nerves responsible for sensation in the glans to reduce its sensitivity. This surgery is effective in about 90% of patients and is carried out under local anesthesia, lasting approximately 20-30 minutes. After a recovery period of about two weeks, normal sexual intercourse becomes possible.
STEP 1
3 cm incision on the circumcision suture line
STEP 2
STEP 3
Key features of premature ejaculation surgery
Premature ejaculation is most common in young men in their 20s and 30s, and the main cause is overly sensitive glans and penis. After the dorsal penile nerve block is performed to desensitize the area, dissolvable sutures are used, and within 1-2 weeks, the sutures dissolve. Sexual intercourse can be resumed 2-4 weeks after the surgery.
Premature ejaculation surgery is needed for those who experience this
After the surgery, not all sensations in the genital area are lost. Only the areas that are mainly stimulated by friction during sexual activity are selectively desensitized.
The area of the wound experiences reduced sensation and minimal pain. Initially, there may be a slight stinging sensation in the glans, but this gradually fades over time.
- 1
In cases of ejaculation occurring in less than 5 minutes during sexual intercourse
- 2
When the partner is not satisfied during sexual intercourse
- 3
In cases where premature ejaculation recurs, causing significant stress and psychological pressure
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