Surgical Treatment of Premature Ejaculation: Selective Dorsal Neurectomy (Neurotomy)

Premature ejaculation is a common sexual dysfunction in men and can significantly impact quality of life. As a solution to this problem, selective dorsal neurotomy (SDN) surgery has attracted attention in recent years and is promising with innovations in this field. This article will discuss in detail the benefits, procedure and expected results of SDN surgery for premature ejaculation.

What is Selective Dorsal Neurotomy Surgery?

Selective dorsal neurotomy is a surgical procedure developed especially for men who have premature ejaculation problems. This procedure involves selective cutting of the dorsal nerves of the penis. Dorsal nerves are the nerves that control the sensitivity of the penis, and with this process, sensitivity is reduced and ejaculation time is tried to be extended.

Benefits of Surgery

Increased Ejaculation Time: SDN surgery significantly prolongs ejaculation time for most patients. Sentences we often hear from patients after surgeries performed in our clinic:

  • I took control of ejaculation, I can ejaculate whenever I want (91%)
  • I can control myself for at least 3 minutes. (7%)
  • I can control my ejaculation for at least 2 minutes (2%)


This increases sexual performance and improves couples’ quality of sexual life.

Psychological Benefits: Premature ejaculation can lead to lack of self-confidence in men and problems in relationships with their partners. Postoperative recovery can improve overall quality of life by providing psychological relief.

Low Risk of Complications: Since SDN surgery is a minimally invasive procedure, the risk of complications is lower than other surgical interventions.

Will I Experience Erectile Dysfunction or Numbness After Surgery?

The most important questions that bother people who start researching premature ejaculation surgery are the possibility of erectile dysfunction after surgery and permanent numbness in the penis. The nerves that enable erection in the penis and the sensory nerves are located completely differently from each other. There is no possibility of cutting the cavernous nerve, called the lust nerve, which provides erection during the surgery. Therefore, there is no possibility of experiencing surgery-related erection problems after surgery.

During surgery, 360-degree nerve mapping is performed and the nerves that need to be protected are determined with technological devices. For this reason, the 360-degree sensation of the penis is preserved, only the extreme sensitivity in the penis is reduced and the aim is to extend the ejaculation time and provide ejaculation control.

Surgery Process

SDN surgery is usually performed on an outpatient basis and takes approximately one hour. This procedure, performed under local anesthesia, allows the patient to return home on the same day. Post-operative recovery is usually quick and most patients can return to normal activities within a few days.

Who is it suitable for?

This surgery is a suitable option for men who do not benefit from conservative treatments (drugs, therapies, etc.) and whose premature ejaculation problem seriously affects their quality of life. However, like every surgical procedure, SDN surgery has some risks and contraindications. Therefore, it is important to have a detailed medical evaluation before the procedure.

Expected Results and Long-Term Effects

The results of selective dorsal neurotomy surgery are generally positive. Most patients experience a significant increase in ejaculation time within a few weeks after surgery. However, the effectiveness of surgery may vary from person to person and some patients may need additional treatments.


Selective dorsal neurotomy surgery has emerged as an effective and safe treatment method for men suffering from premature ejaculation. Surgery has the potential to improve the quality of sexual life through a minimally invasive approach. However, as with any surgical intervention, the advantages and risks of SDN surgery should be carefully evaluated. It is important for individuals who experience premature ejaculation to speak with a healthcare professional before considering this option.

This article has discussed in detail the role of selective dorsal neurotomy surgery in the treatment of premature ejaculation and the potential benefits of this procedure. It is recommended that you consult with a healthcare professional to learn more about surgery and determine whether it is appropriate for your individual situation.

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Surgical Treatment of Premature Ejaculation: Selective Dorsal Neurectomy (Neurotomy)
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