Dorsal Neurectomy for Premature Ejaculation
Surgical Precision to Extend Performance and Restore Control.
What is Dorsal Neurectomy?
Dorsal Neurectomy (DN) is a specialized procedure widely recognized as the most effective permanent treatment for Primary Premature Ejaculation (PPE). It addresses the root cause of PE—penile hypersensitivity—by recalibrating the sensory nerves, allowing men to significantly extend their intravaginal ejaculatory latency time (IELT) and regain control over their sexual performance.
Clinical Mechanism
The Clinical Mechanism of Action:
1. Targeted Nerve Identification and Selective Desensitization: The surgeon isolates the dorsal nerve bundle to precisely identify the specific branches causing hypersensitivity. Using precision instruments, a calculated percentage of these peripheral nerve fibers is then selectively divided, which effectively reduces the overwhelming sensory input responsible for triggering the rapid ejaculatory reflex.
2. Reflex Threshold Elevation: By moderating the sensory signals, the biological 'trigger point' for ejaculation is raised. This means it takes more stimulation and time to reach the point of no return.
3. Preservation of Function: Crucially, the main nerve trunks are left intact. This ensures that tactile sensation, erection quality, and the ability to feel pleasure and orgasm are fully preserved—only the *hypersensitivity* is eliminated.
Treatment Procedure
Anesthesia & Incision
Local anesthesia is administered. A small surgical incision is made at the base of the penis near the pubic area.
Nerve Identification
The surgeon identifies and selectively cuts specific dorsal nerve branches to recalibrate sensitivity.
Closure
Incision closed with dissolvable sutures. Bandage applied.
Follow-Up
Healing monitored. Sexual activity resumes after 3-4 weeks.
Safety & Side Effects
When performed by experienced surgeons, complications are rare. Potential risks include temporary numbness (usually resolves), infection (<2%), and in rare cases, erectile function changes. Most men retain normal sensation and function.
Suitable Candidates
- Men with lifelong (primary) premature ejaculation.
- Those who have tried and failed behavioral/medication therapy.
- Patients seeking a permanent solution.
- Men with IELT (Intravaginal Ejaculatory Latency Time) under 1 minute.
Recovery & Results
Initial Healing
Swelling subsides. Sexual activity restricted during healing.
Gradual Resumption
Sexual activity can be resumed. Sensitivity noticeably reduced.
Full Effect
Peak results achieved. IELT increases 3-5x baseline.
Frequently Asked Questions
QWill I lose sensation completely?
No. Selective neurectomy targets only specific branches, preserving enough sensation for pleasure while reducing hypersensitivity.
QIs the effect really permanent?
Yes. Once nerves are cut, they don't regenerate in the same way. Results are long-lasting.
QCan it affect my erections?
Rarely. The dorsal nerves primarily control sensation, not erection. Experienced surgeons have very low rates of erectile issues.
Ready to Start?
Consult with our Board-certified specialists at M-Trust Urology for Dorsal Neurectomy.
