Selective Dorsal Neurotomy

Premature ejaculation (PE) is defined as ejaculation that occurs so early during sexual intercourse that it prevents the patient or their partner from achieving satisfaction.
Selective dorsal neurotomy is a minimally invasive surgical treatment aimed at improving ejaculatory control by surgically reducing overly sensitive nerve fibers in the glans penis.

What is Selective Dorsal Neurotomy?
Overly sensitive nerve fibers on the dorsal (top) surface of the glans penis are selectively cut or blocked surgically.

This procedure reduces sensitivity while delaying ejaculation without affecting natural sensation or erectile function.

The procedure is usually performed as minimally invasive surgery under local or general anesthesia.

When is it Used?
Selective dorsal neurotomy is particularly indicated for:

• Mild to moderate premature ejaculation

• Patients unresponsive to other treatment methods (medications, glans fillers, cryotherapy)

• Patients seeking a long-term and permanent solution

How is it Performed?

• The patient is prepared under sterile conditions, and local or general anesthesia is administered.

• Overly sensitive nerve fibers on the dorsal surface of the glans are selectively reduced or cut surgically.

• The procedure usually takes 30–60 minutes.

• The patient is typically discharged on the same day or the following day.

Post-Treatment Effects

• Mild pain, swelling, or bruising may occur, usually resolving within a few days.

• The effect is generally permanent, and ejaculatory control is significantly improved.

• Natural sensation and erectile function are preserved in most cases.

• With regular follow-up, the risk of complications is minimal.

Advantages

• Permanent and effective solution

• Reduces glans sensitivity, improving ejaculatory control

• Provides a lasting solution instead of temporary treatments or medications

• Minimally invasive surgery with quick recovery

Selective Dorsal Neurotomy in Our Clinic
In our clinic, the procedure is performed by a male sexual health specialist using modern surgical techniques.
Each patient receives a personalized evaluation and surgical plan.
The goal is to safely and permanently control premature ejaculation while improving sexual quality of life.