In male sexual health and premature ejaculation treatments; filling, behavioural methods, vasectomy, sexual therapy and other modern applications are presented.
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Premature Ejaculation Treatment with Cryoablation · 4 questions
Cryoablation literally means destruction by freezing. It has been used in urology for many years in the treatment of the prostate, the kidney and certain tumours.
Excessive sensitivity of the penis plays an important role in premature ejaculation. With cryoablation the lateral branches of the dorsal nerve of the penis in particular are targeted and controlled cooling is applied to this…
It is carried out under local anaesthesia. It takes approximately 15 to 20 minutes. The nerve endings are located by means of a sensation test. Cooling down to minus 70 degrees is applied with a special probe.
It suits men with lifelong premature ejaculation and those who have not benefited from creams or tablets. Men who have experienced premature ejaculation throughout their lives, Those who do not benefit from creams and sprays…
Selective Dorsal Neurectomy (SDN) for Premature Ejaculation · 2 questions
Selective Dorsal Neurectomy is the reorganisation of the superficial nerve network, the dorsal nerve branches, that transmits the sensation of touch in the penis to the brain.
The greatest factor in the success of this treatment is correct patient selection. At our clinic the decision to operate is taken after a detailed urological assessment.
Premature Ejaculation Treatment with Botox · 7 questions
Botox delays ejaculation by relaxing the pelvic floor and penile root muscles that contract during it. In many men who experience premature ejaculation, the pelvic floor muscles and the root muscles of the penis (the…
The procedure is carried out in the clinic, without anaesthesia, and takes only a few minutes. The procedure is carried out in the comfortable environment of our clinic in a highly practical manner, without the need for a scalpel…
It is non-surgical: there is no incision, suture or scar. It does not eliminate sensation: unlike delaying sprays or creams, it does not numb the glans completely and reduce pleasure to zero. It only regulates the muscle reflex.
The relaxing effect of the Botox injection on the muscles reaches its maximum level 7 to 14 days after the procedure, and the patient clearly notices the increase in duration.
Certainly not. Botox is applied only to the target ejaculation muscles. Because the vascular structures and spongy tissues that provide erection (the corpus cavernosum) are unaffected by this procedure, there is no loss in…
After the application, one week (7 days) of sexual abstinence is generally recommended so that the Botox settles fully into the relevant muscles and begins to take effect.
The two methods work through different mechanisms. Glans filler prevents excessive nerve sensitivity by insulating it, whereas Botox treatment stops involuntary muscle contractions.
Filler Application for Premature Ejaculation · 2 questions
Premature ejaculation refers to unwanted and uncontrollable early ejaculation during sexual intercourse. This condition can prevent men from achieving sexual satisfaction and may negatively impact their partners.
Doctor Examination: First, you will be examined by a specialist doctor for your premature ejaculation complaint. The doctor will assess your condition and discuss appropriate treatment options.
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Premature Ejaculation Treatment and Current Methods · 3 questions
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…
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.
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.
Neurectomy (SDN) Surgery for Premature Ejaculation · 3 questions
Preliminary assessment: the patient's anatomy and the sensitivity of the glans are confirmed by clinical examination. The operation: it is performed under local anaesthesia or light sedation.
Certainly not. The vessels and deep nerve bundles that provide erection lie within the internal structure of the penis. SDN surgery is performed on the superficial sensory nerve endings just beneath the skin, and has no adverse…
No. Because the main nerve trunk is preserved, the sense of touch and sexual pleasure continue exactly as before; only the excessive sensitivity is balanced, so intercourse lasts longer.
A Lasting Solution for Premature Ejaculation: What Is Neurectomy (SDN) Surgery? · 8 questions
Selective Dorsal Neurectomy (SDN) is the selective division, using microsurgical techniques, of the excess nerve fibres responsible for hypersensitivity of the glans. The critical word here is "selective".
Neurectomy surgery is not applied directly to every patient with premature ejaculation. In line with the principle of the right treatment for the right patient, the candidate must meet certain criteria.
This operation, which requires microsurgical experience, is carried out in a highly practical manner with patient comfort in mind:
SDN neurectomy offers a lasting result, whereas creams and tablets work only for as long as they are used. Understanding how the methods used in premature ejaculation treatment differ from one another will help you make the right…
Yes. Because the divided nerve fibres do not rejoin on their own, the balance of sensitivity in the glans is preserved permanently. The procedure therefore offers a lifelong improvement.
The operation is completed by microsurgical technique in 45 to 60 minutes on average. It is a day-case procedure; the patient is discharged the same day without needing to stay overnight in hospital.
Because the incision is concealed within the circumcision line and aesthetic suture materials are used, no noticeable surgical scar remains once healing is complete.
To allow the tissue to heal fully and to prevent any risk of infection, it is recommended to avoid sexual intercourse and masturbation for four weeks after the operation.
Premature Ejaculation Treatment: Methods and Expert Solutions · 9 questions
Premature ejaculation is ejaculation that occurs sooner than the man or his partner wishes during intercourse — generally in under a minute — and outside the man's control.
The patient's account alone is not sufficient for a diagnosis; specific clinical criteria and tests are required. The International Society for Sexual Medicine (ISSM) defines premature ejaculation by three main components: an…
Oral medication acts on the central nervous system. The ejaculatory reflex is controlled by the ejaculatory centre in the brain.
Kegel exercises work the muscles used to stop the flow of urine (the PC muscles). Contracting and relaxing these muscles ten times, in three sets during the day, strengthens the pelvic floor.
Yes — treatment can be permanent, particularly where the causes have been correctly identified. If the problem is psychological in origin or related to weakness of the pelvic floor, lasting control is achieved through exercise…
A habit of rapid masturbation focused solely on ejaculation can condition the nervous system to ejaculate quickly. Masturbation carried out secretly and hurriedly for fear of being discovered in particular leads the brain to…
Some SSRIs can, in rare cases, cause a reduction in sexual desire or a slight decline in the quality of erection. This can generally be corrected by adjusting the dose or changing the medication.
The widespread belief that premature ejaculation is less common in circumcised men has not been scientifically established. Removal of the foreskin may reduce sensitivity in the head of the penis to some degree, but on its own it…
Herbal preparations sold with contents that are not fully known generally produce a placebo effect, or may threaten health because of the unlicensed chemicals they contain. There is no scientifically proven herbal cure.
Peyronie's Disease: Can It Be Treated at Home? · 3 questions
Peyronie's disease is a condition that causes curvature of the penis and difficulty with erection as a result of fibrous tissue forming within it.
Managing Peyronie's disease at home can take time and requires patience. Results generally begin to be seen after weeks or months of regular application.
Home measures may relieve the symptoms of Peyronie's disease, but complete recovery is not always possible. Surgery may be required, particularly in the advanced stages of the condition.
What is Penile Curvature (Peyronies Disease)? · 2 questions
Penile curvature, medically known as Peyronie's disease, is a condition where the penis bends abnormally in one direction. This bending usually occurs due to the hardening of connective tissue and the formation of scar tissue in…
Peyronie's disease can sometimes resolve on its own. However, in most cases, the condition may progress and require treatment. Early treatment is important to prevent the progression of the curvature and minimize its negative…
Male Sexual Health Premature Ejaculation Treatments · 9 questions
Premature ejaculation occurs when a man ejaculates earlier than he or his partner would like during sexual activity. It often happens either before or very shortly after intercourse begins.
Premature ejaculation has both physical and psychological causes, and the two often occur together. There are many causes of premature ejaculation, including both physical and psychological factors: Physical causes: Issues such…
The ideal ejaculation time varies from person to person, but ejaculation within a few minutes of penetration is generally considered normal. Research suggests the average ejaculation time is around 5-7 minutes.
Technically, the concept of premature ejaculation does not apply to women. However, if a man's ejaculation occurs before the woman has had sufficient arousal, it can lead to dissatisfaction.
There is no definitive evidence that circumcision directly causes premature ejaculation. Some studies suggest that circumcision reduces sensitivity in the penis head, possibly lowering the risk of premature ejaculation, while…
Erectile dysfunction (impotence) can be related to premature ejaculation. Men may rush intercourse to compensate for difficulty in maintaining an erection, leading to premature ejaculation.
Frequent masturbation may lead to premature ejaculation in some men. Especially if a man becomes accustomed to ejaculating quickly during masturbation, he may exhibit similar behaviors during intercourse.
The effects of alcohol on sexual function are complex. Alcohol can reduce sexual desire and lead to erectile dysfunction in some men, while in other cases, it may increase the risk of premature ejaculation.
Erectile medications (such as sildenafil) are not typically used to treat premature ejaculation. However, some men report that these medications extend erection time, indirectly reducing premature ejaculation.
Male Sexual Health and Premature Ejaculation Treatments
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