Urology
July 18, 2026
5 min read

Who is a Candidate for Selective Dorsal Cryoablation (for Premature Ejaculation)?

Op. Dr. Fettah Tosun

Op. Dr. Fettah Tosun

Üroloji Uzmanı

Dear patients and visitors to my website,

As a urologist, Op. Dr. Fettah Tosun, I address numerous urological issues in my clinic that directly impact our patients' quality of life. One such issue, which unfortunately is not discussed enough in our society, is premature ejaculation (PE), a condition that negatively affects men's sexual health. This condition, which we frequently encounter in our patients in Adana and the Çukurova region, can lead to significant tension between couples and cause a loss of self-confidence. For patients who have not responded to conventional treatments or are seeking a more permanent solution, one of the innovative approaches I apply in my clinic is Selective Dorsal Cryoablation (SDC) therapy.

What is Selective Dorsal Cryoablation (SDC)?

Selective Dorsal Cryoablation is a minimally invasive method that has recently gained prominence in the treatment of premature ejaculation. In this treatment, specific branches of the dorsal nerves, responsible for the penis's hypersensitivity, are selectively frozen to reduce their sensitivity. Our goal is to elevate the neural stimulation threshold that triggers the ejaculation reflex, thereby extending our patients' ejaculation time. This procedure targets only the hypersensitivity causing premature ejaculation, without affecting the general sensation of the penis or erection quality. Based on my experience, we achieve highly satisfactory results with proper patient selection.

Who is a Candidate for SDC Therapy?

Not every case of premature ejaculation is suitable for SDC. This treatment offers an ideal option, especially for patients who meet specific criteria. Following a detailed evaluation we provide to our patients at my practice, we determine that individuals with the following conditions may be suitable candidates for SDC:

  • Primary (Lifelong) Premature Ejaculation: Patients who have experienced premature ejaculation since the beginning of their sexual life.
  • Cases Resistant to Other Treatments: Patients who have not benefited sufficiently from conventional methods such as oral medications (SSRIs), topical creams, behavioral therapies, or who cannot tolerate their side effects. International urology guidelines (EAU, AUA) also recommend exploring different treatment modalities for such resistant cases.
  • Penile Hypersensitivity: Patients whose penis is found to be hypersensitive through physical examination and special tests. This condition is one of the primary causes of premature ejaculation.
  • Seeking a Permanent and Definitive Solution: Patients who do not wish to use medication continuously or who expect a longer-lasting effect.
  • Good General Health: Individuals whose general health is suitable for minor surgical procedures, without serious chronic diseases or bleeding disorders.
  • For our patients who visit our clinic from surrounding provinces such as Mersin, Gaziantep, and Hatay, we carefully evaluate these criteria to formulate the most appropriate treatment plan.

    What are the Advantages of SDC Therapy?

    Selective Dorsal Cryoablation offers many advantages with proper patient selection:

    • Minimally Invasive Procedure: It is typically completed in a short time under local anesthesia. It does not require hospitalization.
    • High Success Rates: Based on my clinical experience and scientific data, it provides a significant prolongation of ejaculation time in suitable patients.
    • Long-Lasting Effect: It has the potential to offer more prolonged and permanent results compared to other methods.
    • Preservation of Natural Sensation: Since only hypersensitive nerve branches are targeted, general penile sensation and sexual pleasure are usually preserved.
    • Quick Recovery: Patients can typically return to their daily activities in a short period.
    • My Treatment Approach and Important Notes

      At my clinic, I have adopted the principle of creating a personalized treatment plan for each patient. Premature ejaculation is a complex condition and can sometimes be associated with psychological factors, hormonal imbalances, or other urological issues. Therefore, before SDC therapy, I conduct a comprehensive evaluation including a detailed medical history, physical examination, and necessary laboratory tests. I openly discuss treatment options with my patients, presenting their advantages and disadvantages in light of scientific data. For instance, some of our patients may experience erectile dysfunction (erection problems) along with premature ejaculation, and in such cases, we may support them with complementary treatments like penile fillers in Adana. My approach is to address my patients' overall sexual health and quality of life holistically.

      If you are experiencing premature ejaculation and have not found relief with traditional treatments, Selective Dorsal Cryoablation might be a suitable option for you. Remember that such sexual health issues are not something to be ashamed of, but rather conditions that require treatment. You can visit my clinic in Adana for a detailed evaluation and a personalized treatment plan. Do not hesitate to take the first step towards a healthy and happy sexual life.

      Randevu mu almak istiyorsunuz?

      Bu konu hakkında daha fazla bilgi almak veya bir muayene planlamak için bizimle iletişime geçin.

      AI Klinik AsistanıAI

      7/24 Aktif

      Merhaba! Ben Dr. Fettah Tosun kliniği dijital asistanıyım. Tedavilerimiz, randevu planlama veya klinik adresimiz hakkında size nasıl yardımcı olabilirim?

      Şunları sorabilirsiniz: