Premature ejaculation is one of the most prevalent sexual conditions experienced by many men around the globe. It’s a mismatch where the man cannot slow down ejaculation and creates suffering, anxiety and relationship problems. Despite various options for premature ejaculation, some men resort to surgery to increase sexual function. This article discusses various surgical options for early ejaculation, and describes the efficacy, risks, and alternatives.
Surgical Approaches for Early Ejaculation:
1. Circumcision:
Circumcision is a surgical procedure that removes the skin of the penis. Though circumcision may be practiced for cultural, religious or medical reasons, there is evidence to suggest that it might also be used to manage PE.
The proposed way circumcision can promote PE is to reduce the penis’s sensitivity. Because the foreskin contains so many nerve endings, cutting it off could make sex less rousing, possibly slowing down ejaculation.
But there’s no solid evidence that circumcision helps cure PE. Some research found significant reductions in PE symptoms after circumcision, while others found no difference. Furthermore, circumcision is not without risks and complications, such as infection, bleeding and scarring.
2. Dorsal Nerve Transection:
Dorsal nerve transection involves removing the dorsal nerves, the nerves that run from the top of the penis to send sensations to the brain. When you disable these nerves, ejaculation is slowed down, and intercourse takes longer.
It’s typically done under general anaesthesia and takes around one hour. The surgeon pokes a small hole in the base of the penis and finds the dorsal nerves. They then slice the nerves, suture the wound shut.
Dorsal nerve transection, although sometimes successful for PE, is dangerous. The surgery leaves the penis permanently numb, which can influence sex experience and pleasure. Furthermore, it can lead to infection, bleeding, and scarring.
3. Selective Dorsal Rhizotomy:
Selective dorsal rhizotomy (SDR) involves severing some of the nerve roots that extend from the spinal cord and transmit signals from the penis to the brain. Cutting these nerve roots truncates ejaculation, prolonging sex.
It is normally done under general anaesthesia and the entire procedure lasts about three hours. The surgeon cuts a hole in the lower back and finds the nerve roots that enable penile feeling. The doctor then electrically stimulates the corresponding nerve roots, which initiate ejaculation, and trims them off.
Like dorsal nerve transection, SDR is a potentially powerful treatment for PE, but it’s not without danger. The treatment can leave the penis permanently paralyzed, and this can impair libido and enjoyment. There’s also infection, bleeding, and scarring. Moreover, SDR can lead to leg weakness and urinary incontinence.
The Power and Dangers of Premature Ejaculation Surgery:
The effectiveness of premature ejaculation surgery varies in each individual. Other men might notice an increased ejaculation delay, but not others. Additionally, these surgeries are highly prone to complications, such as infection, bleeding, and nerve damage. It can also lead to permanent numbness and sensitisation of the penis, affecting sexual pleasure and performance.
Alternatives to Surgery:
Surgery is used only as a last-ditch solution for premature ejaculation. There are a number of non-surgical treatments that have been demonstrated to control PE. These include:
1. Behavioral Therapy:
Behavioral therapy, including the stop-start and squeeze methods, tries to help men master their ejaculation. The therapy also works on lowering their performance anxiety and communicating better with their partner.
2. Medications:
For the vast majority of men, medication could be a key part of controlling excessive ejaculation. The most common class of medication is the selective serotonin reuptake inhibitors, or SSRIs. Although originally formulated to treat depression, SSRIs turned out to work by lengthening ejaculation time.
SSRIs function through their action on serotonin in the brain, which seems to control ejaculation. Such medicines can work well for many, but there are side effects. Nausea, vertigo, and reduced libido are the most common symptoms. It is just a question of how well the individual and their medical professional discuss the risks and rewards of such a drug.
3. Topical Anesthetics:
Other nonoperative remedies for PE include topical anaesthetics, such as lidocaine or prilocaine. This medication, delivered through the head of the penis, minimises irritation and thus may prolong orgasm. They are typically used around 15 to 20 minutes before sex.
Some of the creams and sprays have side effects such as reduced pleasure and temporary numbness for both partners. Users should ensure that they read the instructions on how to use the product and speak to a physician for use instructions.
4. Counseling:
A male’s premature ejaculation is often psychologically caused by anxiety, stress and relationship difficulties. These are questions that can be properly addressed by counselling or therapy. A skilled therapist will assist the individual to articulate his emotions and talk more effectively with his partner so that the couple can adopt a healthy approach to sex.
It can also offer psychosocial strategies for managing the stress and anxiety that could perpetuate the issue. Solving these issues on an entirely different level leads to enhanced sexual performance and wellbeing.
Conclusion:
That is, early ejaculation surgery is less effective for PE because it is both risky and ineffective. We have a number of non-surgical options that are effective for PE treatment. Surgery should be done only after discussion with a doctor, with all risks and benefits balanced. Remember that PE is manageable, and seeking the advice of a healthcare professional is the best way to ensure sexual satisfaction and quality of life.
