Premature Ejaculation Treatment with Dorsal Penile Neurotomy
Premature ejaculation (PE) is a common sexual dysfunction among men. PE is defined as ejaculation occurring with minimal stimulation either before or shortly after penetration. This condition can negatively affect both the individual’s and their partner’s sexual quality of life.
Definition and Purpose of Dorsal Penile Neurotomy
There are several methods for treating PE, including psychological counseling, pharmacological treatments, and surgical interventions. Dorsal penile neurotomy (DPN) is a surgical treatment method, also known as a nerve cut procedure. This procedure involves cutting the nerves located on the dorsal (top) surface of the penis. The goal is to reduce penile sensitivity and thereby prolong the ejaculation time.
History of Dorsal Penile Neurotomy
DPN was first proposed in the 1980s. Since then, various surgical approaches have been developed for the treatment of PE, and DPN has become a notable option among them. However, the popularity and effectiveness of this method continue to be debated in the medical literature.
Procedure of Dorsal Penile Neurotomy
DPN is usually performed under local anesthesia and takes approximately 30-60 minutes. During the procedure, certain parts of the dorsal nerves running from the base of the penis to the glans penis (head of the penis) are cut or blocked. The procedure steps are generally as follows:
1. Administration of Anesthesia: The penis is numbed with local anesthesia.
2. Determination of Cut Sites: The locations of the dorsal nerves of the penis are identified.
3. Nerve Cutting: Under a microscope, the nerves are carefully cut or blocked.
4. Stitching and Bandaging: The cut areas are closed and bandaged.
DPN is typically performed as an outpatient procedure, and the patient is discharged the same day.
Efficacy and Reliability of Dorsal Penile Neurotomy
Studies on the efficacy of DPN have shown that the procedure is effective in prolonging ejaculation time in some patients. However, results can vary from person to person, and the effect of the procedure may be limited in some cases.
Advantages:
– Quick recovery process
– More permanent solution compared to other treatment methods
Post-Operative Care for Dorsal Penile Neurotomy
There are certain precautions that patients need to take after DPN. During the recovery period, the following measures should be taken:
– Rest: Physical activity should be limited for the first few days.
– Hygiene: Keeping the penis area clean reduces the risk of infection.
– Sexual Activity: Sexual intercourse should be avoided until full recovery is achieved.
– Follow-Up Appointments: Regular follow-up appointments with the doctor should be maintained.
Conclusion
Premature ejaculation is a common problem among men that can negatively affect quality of life. Dorsal penile neurotomy stands out as a highly effective solution in the surgical treatment of this issue. DPN has shown to be successful in significantly prolonging ejaculation time in many patients, thereby improving the quality of sexual life. It is clear that this method offers a powerful treatment option for individuals experiencing premature ejaculation.
