Surgery For Premature Ejaculation: 4 Main Types

One of the most common types of sexual dysfunction is ejaculating too soon. If you lined up all the men in the world, there’s a good chance that about 30% of them have dealt with PE at some point in their lives.

When a man ejaculates too soon, it causes a lot of doubt and discomfort during sex.

This is why finding good treatments for premature ejaculation is usually one of the most important things for most men, and sometimes these treatments include surgery for premature ejaculation.

Here’s how surgery can help with premature ejaculation as well as what might cause it.

4 types of surgery for premature ejaculation

If you tend to ejaculate too soon, it can cut your sexual experience short. Medications and psychotherapy are often recommended as ways to help.

These steps may only help for a short time, though.

Even though there aren’t many studies about how well therapy works for treating PE, deciding to stop taking your pills can make you more likely to ejaculate early during sex.

Sometimes, therapy and medicine just don’t work to help people with PE.

When regular treatments don’t work to improve sexual function, surgery for premature ejaculation may be a good choice.

This treatment is especially good for reducing hypersensitivity of the penis, which is a common thing that makes people ejaculate early.

Here are four types of surgery for premature ejaculation that can be used to stop a man from ejaculating too soon:

1. SDN (Selective Dorsal Neurectomy)

Even though it might not look like it from the outside, the penis has nerves that help it feel and talk about what it is feeling.

In particular, the penis’s dorsal nerve helps send signals from the penis and its very sensitive head to the brain (more commonly known as the tip). When it comes to ejaculatory reflexes, this nerve is also very important.

When people who had premature ejaculation all their lives were looked at, it was found that they had more dorsal nerves that were also thicker than expected. People think that these traits make the penis too sensitive, which can lead to ejaculating too soon during sex.

A selective dorsal neurectomy helps make the penis less sensitive by stopping it from becoming too sensitive or excited. This procedure can also help make ejaculation last longer and can make it easier to keep going after penetration.

SDN wants to do this by cutting off extra dorsal nerves to make people less sensitive during sex. In a trial where men with extra foreskins were circumcised and given SDN, those who had always ejaculated before they should have were able to control it better. They also found that after penetration, they could last longer.

A selective dorsal neurectomy is a permanent procedure that is often chosen over medicines that need to be taken every day.

2. Inner condom method

Since it is known that hypersensitivity is a cause of premature ejaculation, this PE treatment also aims to make the penis less sensitive.

To do this, an acellular dermal matrix (ADM) inner condom is put inside the penis. ADM comes from the same thing that skin is made of, so it is safe for humans to use. This is on top of the fact that it lets the penis grow without causing the body’s immune system to react.

By putting ADM into the penis, the goal is to make the skin and the membranes of the penis less sensitive. This can help people with PE delay ejaculation after penetration. Twenty men who had premature ejaculation were put in with inner condoms as part of a study.

This procedure was found to be safe and effective, and it helped patients ejaculate a little bit later.

3. Cryoablation and radiofrequency

You may have heard the word “cryoablation” used to describe a way to treat cancer. This is because the process can kill urinary tumors by freezing and destroying them.

By doing this treatment on the penis’s dorsal nerves, the penis’s hypersensitivity and its response to sexual input signals can be lessened. People often use pulsed radiofrequency to treat pain. But this minimally invasive procedure can also be used to change how the dorsal nerves of the penis work and how sensitive they are.

It does this by sending waves of electricity to the nerves.

4. Hyaluronic acid (HA) gel for penis enhancement

Hyaluronic acid gets most of its attention for its anti-aging effects, but this acid may also help men who ejaculate too early.

This benefit comes in part from the fact that HA is a natural part of the human body. It is found in the skin, eyes, and connective tissue, which is not widely known. This makes it safe to use as a filler for the penis since the body is less likely to have an immune response to it.

When a hyaluronic acid filler is put in the penis, it acts as a bulking agent and creates a barrier between the dorsal nerve and stimulation from the outside. This can help reduce hypersensitivity, making it less likely that you will ejaculate too soon during sex.

In a study that lasted eight months, 20 men who ejaculated too soon were given injections of hyaluronic acid. When these injections were put into the top of the penis, the size and shape of the penis got better.

By the end of the study, the effects had stopped early ejaculation and made the participants and their partners feel more sexually satisfied.

The risks of surgical treatments for premature ejaculation

Even though surgical treatments have been shown to help with premature ejaculation, they are not common in most countries.

The International Society for Sexual Medicine (ISSM) does not recommend either selective dorsal neurectomy or penis augmentation with hyaluronic acid as ways to treat PE. Surgical treatments are especially not good because they can make it more likely that a person will lose their sexual function for good.

Along with this, there aren’t enough studies or data on how well it works or if it’s safe. Some surgeries, like SDN, have been linked to early ejaculation, pain, a curved penis, erectile dysfunction, and even psychotic episodes. Poor blood flow to the tissue has also been caused by surgery, which can cause cells to die. Most of the time, this condition is caused by giving the injection for the procedure in the wrong way.

Even with these risks, surgery is a common way to treat premature ejaculation, especially in places like Korea and China.

How do you know if surgery for premature ejaculation is right for you?

When people are having sex, one of the worst things that can happen is that they finish too soon. When this happens, they look for ways to fix it right away.

There are many ways to treat this condition, but surgery is becoming more popular as a PE solution. This can be done with the inner condom method, selective dorsal neurectomy, cryoablation, or a bigger penis. Read our guide on less invasive ways to stop premature ejaculation if you want to stop ejaculating during sex but aren’t ready for a surgical procedure or the side effects that may come with it.

How to treat premature ejaculation without surgery

While men with PE wait for safe, affordable surgery or other permanent solutions, there are other things they can do in the meantime.

There are ways to stay in bed longer, such as:

• Promescent Climax Control Spray: This over-the-counter treatment can help you last longer and enjoy sex with your partner more if you use it before you start.
• Masturbation: If you masturbate before you have sex, it can take longer to climax the second time around. 
• Foreplay: Spending time focusing on your partner can help you stop thinking about finishing too quickly, or it can help shorten the time between orgasms so you can both feel satisfied. 
• Lube: By adding more slip, you can slow things down and make them more comfortable for both of you. 
• New positions: Try some new positions that take some of the friction and pressure off your penis, and you may find that you can go on for longer.