Is surgery recommended as a viable premature ejaculation treatment?
Premature ejaculation surgical remedy: The old ways
Despite many a remedies to treat premature or rapid ejaculation, the medical world has not yet found the perfect surgical way to end premature ejaculation, although some of the root causes giving rise to the symptom are operable. That includes disorders like angina or repairing damaged nerves belonging to the sympathetic nervous system or pelvic fractures or prostatic hypertrophy (and prostatitis). It also applies to disorders like Polyneuritis i.e. damage to peripheral nerves.
Premature ejaculation surgical remedy: The new way
Currently, it is a more advanced surgical mode of treatment that’s creating the headlines; it is the dorsal penile nerve micro-control technique. The dorsal penile nerve, due to social conditioning, is found to exhibit over-excitability; along with the sensory nerve of the glans of the penis. This makes the ejaculation reflex arc subject to a shorter latency period, which reduces the threshold values of sexual stimulations.
The nerves in the penis (from skin, glans and urethra) fuse to form the dorsal penile nerve bundles that join the pudendal nerve fiber and extend back through the sacral nerve root to the spinal cord. The receptors on the spinal cord and in the spino-thalamic tract collect the combined stimuli information of the dorsal penile and pudendal nerves and send them to the hypothalamus and the cerebral cortex. This creates the ejaculation reflex. Blocking the nerve impulses stops the reflex and maintains the erection. It reduces the sensitivity on the penis head, thus raising the ejaculation threshold, prolonging ejaculation latency and improving performance spans.
The patient can go back to normal sex life after 30 days following the surgical procedure and 87.5% of operated patients experience sexual intercourses longer than 10 minutes. 10% cross the 30 minutes barrier while for the remaining, micro-surgery failed.
The procedure FAQ:
- The surgery involves making a small incision (1cm to 2cm) while suturing is done with catgut. No tissue damage occurs in the procedure and the wound heals within 7 days following the surgery.
- The procedure doesn’t disturb the reproductive system since the incision is cosmetic in nature.
- There is no age restriction for the micro-surgery but a person should be an adult i.e. 18 years of age or above and should otherwise be a healthy individual. Premature ejaculation due to cardiac disorders or hyperglycemia is not curable through this surgical process.
- The surgery actually causes desensitization of the penis for up to 6 months. The downside of this is even though the receiving partner gets optimal satisfaction, the other one needs depending entirely upon psychological stimulus. This might again give rise to problems like erectile dysfunction, because sensory stimuli are a vital part of the erection mechanism. The problem might also arise due to the formation of scar tissue (keloids); it stops the severed nerve from growing back.
- Another risk is infection, which can substantially stretch the healing period. However, with the use of asepsis medications and immune-modulating drugs prior to the surgery, the risk for infections is greatly reduced.
Premature ejaculation is a problem that’s easily cured treating the underlying causes, some of which may need surgical invasions to disappear completely. On a broader sense, such operations can be termed as a surgical treatment for PE; however, specific surgical procedures like the dorsal penile nerve micro-control technique usually stay the last option. It is chiefly because the surgery renders the penis incapable (or just a little capable) of perceiving sensory stimuli and there stays a slight chance of the condition turning irreversible. Therefore, it is always advised to go for the procedure only after proper medical consultation and trying exhaustively other methods meant to cure premature ejaculation.