Premature Ejaculation Treatment and Current Methods

Premature Ejaculation Treatment and Current Methods

Premature ejaculation is uncontrolled ejaculation that occurs against a man's will before intercourse or immediately after it begins, generally in under one minute.

This is not merely a psychological concern. In the great majority of patients there are anatomical causes such as excessive sensitivity of the glans penis (hyperaesthesia) or involuntary contraction reflexes in the pelvic floor muscles. For this reason standard sprays or tablets cannot offer a fundamental solution.

Current Treatment Methods for Premature Ejaculation

In modern andrology, premature ejaculation treatment is considered in three main groups according to the patient's anatomical needs and expectations:

• Clinical and non-surgical methods: glans filler application and penile Botox injection.
• Cold and cellular methods: selective dorsal cryoablation (nerve freezing).
• Microsurgical methods: selective dorsal neurectomy (SDN surgery).

1. Glans Filler Application

• Mechanism of action: special hyaluronic acid based fillers are injected beneath the skin of the glans. The filler layer acts as an insulator, a barrier, between the superficial sensory nerve endings and the outside environment.
• Advantage: performed in clinical conditions in 15 minutes. It moderates excessive sensitivity while also providing aesthetic volume. The effect lasts 12 to 18 months.

2. Penile Botox Injection

• Mechanism of action: botulinum toxin is applied to the pelvic floor and penile root muscles (the bulbospongiosus) that contract involuntarily at the moment of ejaculation.
• Advantage: by stopping the involuntary contraction reflex it gives the man the ability to manage the moment of ejaculation. It does not eliminate sensation.

3. Selective Dorsal Cryoablation (Nerve Freezing)

• Mechanism of action: cold energy at minus 40 degrees Celsius is applied to the hypersensitive nerve branches on the dorsum of the penis by means of fine cryoprobes.
• Advantage: nerve conduction is slowed in a controlled way without incision or sutures. It offers a fast and comfortable recovery.

4. Selective Dorsal Neurectomy (SDN Surgery)

• Mechanism of action: permanent microsurgical division of the excess nerve fibres carrying the hypersensitivity of the glans.
• Advantage: because it is a physical intervention its results are permanent for life. It removes entirely the need for medication or repeated sessions.

Which Treatment Method Is Right for You?

• If you are tired of using medication or sprays: glans filler or Botox applications are a practical and rapid starting point.
• If you do not want surgery but are looking for a long-lasting effect: cryoablation (nerve freezing) is the ideal option.
• If you want a single procedure with a lifelong result: microsurgical SDN (neurectomy) is the definitive solution.

Frequently Asked Questions

Do premature ejaculation treatments affect erection?

No. Botox, filler, cryoablation and SDN all target only the superficial sensory nerves of the skin and the reflex muscles. Because the vessels responsible for erection are left untouched, erection quality is preserved.

Is there a loss of sensation after treatment?

In advanced andrological techniques the aim is not to eliminate sensation but to bring the stimulation threshold down to a normal level. Sexual pleasure and the sense of touch continue exactly as before.