Although surgical intervention (SDN) offers a permanent and comfortable solution in the treatment of premature ejaculation, not every patient needs this surgery or is suitable for it. Correct patient selection is the most important key to surgical success. The medical criteria applied when seeking the answer to the question of who is suitable for SDN surgery are detailed in this article.
Ideal Candidates for SDN Surgery
Patients with the following characteristics derive the highest benefit from SDN surgery:
- Those with Primary (Lifelong) Premature Ejaculation: Patients who have experienced ejaculation in under 1 minute in every sexual encounter since their first intercourse and have been unable to change this since sexual maturity.
- Those Who Benefit from Local Anesthetic Creams and Sprays: Patients whose ejaculation time is prolonged thanks to anesthetic creams or sprays applied to the penis before sexual intercourse. This confirms that the root cause of premature ejaculation is hypersensitivity of the nerves.
- Those Who Do Not Respond to Drug Treatments or Experience Side Effects: Adult individuals who cannot use medication because oral drugs are ineffective or cause side effects.
Who Is Not Suitable for Surgery?
In cases of acquired (secondary) premature ejaculation, underlying prostate inflammation (prostatitis), thyroid diseases, or psychological stress factors usually play a role. In these cases, these conditions must be treated first instead of surgical intervention. In clinical evaluations, the sexual histories of patients are analyzed in detail, and surgery is recommended only to patients with the correct indication.