Selective Dorsal Neurotomy is an advanced microsurgical procedure used in the treatment of premature ejaculation, aiming to provide a permanent therapeutic effect.

In this procedure, only the branches of the dorsal nerve that cause excessive sensitivity are selectively modified. The goal is to improve ejaculation control by balancing excessive stimulation without completely eliminating penile sensation.

Who Is It Suitable For?

Selective Dorsal Neurotomy is particularly considered for patients who do not benefit from other treatment methods.

• Patients with premature ejaculation lasting at least 6 months
• Individuals who do not respond to medication or behavioral therapies
• Patients diagnosed with excessive sensitivity of the glans penis
• Individuals with lifelong premature ejaculation

How Is the Surgery Performed?

• Performed under local or spinal anesthesia
• The procedure takes approximately 30–45 minutes
• Microsurgical techniques are used
• The nerve branches responsible for excessive sensitivity are selectively cut

Postoperative Process

• Discharge on the same day or the following day
• Return to daily activities within 1–2 days
• Sexual abstinence for 3–4 weeks is recommended

Advantages

• Provides a permanent solution
• Significantly improves ejaculation control
• Increases sexual satisfaction

Risks

• Temporary reduction in sensation
• Mild pain or swelling
• Low risk of infection

Frequently Asked Questions

Can it cause erectile dysfunction?
No. Erectile function is preserved.

Will there be loss of sensation?
Temporary changes in sensation may occur but are generally not permanent.

Is the effect permanent?
Yes, it generally provides a long-lasting effect.

Is the procedure painful?
No. It is performed under anesthesia.