Statistics show that approximately 271% of adult men experience premature ejaculation. If you thought it was a private concern, you should now realize that it is a very common symptom. However, since the treatment approach varies completely depending on the cause, it is dangerous to blindly consider surgery.
In this article, I have explained the options available step-by-step, ranging from the definition of premature ejaculation to nerve block procedures. This is because the most important process is to identify exactly where your symptoms originate and find the appropriate treatment.
What is premature ejaculation? Let's start by checking the diagnostic criteria.
Premature ejaculation does not simply mean that the duration is short. While ejaculating within 1 to 2 minutes of insertion is premature ejaculation, what is more important is Does the discomfort you and your partner feel when you are unable to control your ejaculation recur? That is the point. It means that even if it is the same short amount of time, it may not be a problem if you have psychological confidence.
In the medical field, the determination of premature ejaculation is made by evaluating both the recurrence of symptoms and psychological impact. Therefore, if you suspect, "Could I have it too?", it is more accurate to consult a specialist rather than relying on simple self-diagnosis.
Are there really so many causes of premature ejaculation?
hypersensitivityWhile this is the most common cause of premature ejaculation, it is not the whole story. Psychological factors such as tension and anxiety play a significant role, and ejaculation can also occur quickly when erectile function declines.
Prostate inflammation, hormonal changes, fatigue, and stress may also be intertwined in this. If you treat it assuming there is only a single cause, you are highly likely to be disappointed. That is why medical professionals recommend various tests before treatment.
Tests You Must Do Before Deciding on Surgery
In the treatment of premature ejaculation Identifying the cause determines the 80%It is no exaggeration to say that. Customized treatment is only possible if we identify exactly where the problem lies through a precise examination.
Penile sensation tests measure sensitivity, while blood and hormone tests assess the overall condition of the body. Ultrasound and vibratory angle tests evaluate nerve responses in greater detail. Depending on the test results, a nerve block may be the appropriate treatment, or medication may be the first step.
There is a part that many people miss, to the medical staff Duration of sexual intercourse, stress levels, sleep patterns, alcohol consumption and smoking, erection strength, history of urological diseases, psychological anxiety If you organize and provide the same detailed information in advance, a much more accurate diagnosis is possible.
Try medication and lifestyle changes first
If symptoms of premature ejaculation appear only in specific situations, or if stress and tension appear to be the main causes There is a possibility of improvement without surgery.. It can be largely controlled with medication and behavioral therapy alone.
Improving your lifestyle habits is also crucial. Regular exercise, sufficient sleep, and stress management are more effective than you might think. However, it is dangerous to take products recommended online or by acquaintances without consulting a doctor. Since side effects such as dizziness, nausea, fatigue, drowsiness, and changes in libido can occur, you must obtain a prescription from a medical professional.
If hormone tests reveal hormonal changes, hormone replacement therapy is an option. If psychological factors are significant, combining this with professional counseling can yield synergistic effects.
From Nerve Blocks to Dermal Grafts, a Comparison of Surgical Methods
Ultimately, if the condition does not improve with non-surgical treatment, surgery must be considered. Nerve blocks are the most widely performed.It is possible, and the types and technologies are constantly evolving.
The following table clearly shows the differences between each surgical method.
The most common concern after a nerve block is Possibility of recurrence due to nerve regenerationThis is because blocked nerves can reconnect over time. Therefore, the current trend is to prefer the triple block method (nerve resection, treatment with anti-regenerative substances, and anti-regenerative sutures). This method significantly reduces the possibility of nerve regeneration.
Post-Surgery Recovery: What You Need to Know
Nerve block is performed under local anesthesia, and 2 to 3 hours are sufficient on the day of the surgery. You can return to light daily activities after resting for about a day, but a complete recovery requires at least 4 to 6 weeks.do.
During this period, you should avoid strenuous exercise, lifting heavy objects, and long-distance travel, as there is a risk of the wound reopening. It is also advisable to refrain from sexual intercourse for the period designated by medical professionals.
Successful treatment for premature ejaculation requires a comprehensive approach that considers not only the symptoms but also erectile function, psychological state, and hormonal balance.
If you also suffer from erectile dysfunction, surgery for premature ejaculation alone is insufficient for a fundamental solution. A comprehensive approach is essential. Please seek medical attention immediately if you experience any unusual symptoms during the recovery period. While most cases are normal, complications such as infection or swelling can rarely occur.
For the next step, start by consulting a specialist.
Premature ejaculation is a medical issue that cannot be resolved solely by willpower. However, if the cause is accurately identified, there is a high possibility of improvement.
The wisest first step you can take now is to find a trustworthy urologist. Receiving detailed consultation and examinationInstead of relying on various online sources, personally check your physical condition and create a customized treatment plan. That is the fastest way to overcome premature ejaculation.
| surgical method | Target | characteristic | merit |
|---|---|---|---|
| Dorsal nerve block | Sensory hypersensitivity is the main cause | Selective block of the dorsal nerve of the penis | Natural sensation can be maintained by adjusting sensitivity. |
| frenulum block | Hypersensitivity below the glans | Concentrated nerve block in the frenulum region | High efficiency due to part specialization |
| Dermal graft utilization | Normal senses but sensitive to physical stimuli | Cushioning the glans surface with dermal material | Even an expansion effect can be expected. |