Selective Dorsal Cryoablation: A New Approach to Premature Ejaculation

Hello, I am Op. Dr. Fettah Tosun. With years of experience in urology, I apply modern treatment methods in my clinic to improve the quality of life for my patients. Premature ejaculation (PE) is a very common condition that negatively affects men's sexual lives, leading to loss of self-confidence and relationship problems. In my clinic in Adana, I encounter many patients seeking help for this issue. Alongside traditional treatment methods, I offer Selective Dorsal Cryoablation (SDC), an innovative and promising approach for premature ejaculation treatment, to my patients. In this article, I will explain in detail what SDC is and its role in treating premature ejaculation.

According to the guidelines of international urology associations (EAU, AUA), premature ejaculation is defined as ejaculation that occurs during or before sexual intercourse, involuntarily and typically within 1-3 minutes, accompanied by a feeling of loss of control and causing distress to the individual or their partner. This condition, which we frequently encounter in our patients in the Çukurova region, is quite common, affecting approximately 20-30% of men. Premature ejaculation is a complex problem with psychological and relational dimensions, rather than just a physical ailment.

Various methods have been applied for years in the treatment of premature ejaculation. These typically include behavioral therapies, topical anesthetic creams, and certain oral medications (especially selective serotonin reuptake inhibitors - SSRIs). Behavioral therapies aim to increase ejaculatory control through techniques like "start-stop" or "squeeze." Topical creams can prolong ejaculation time by temporarily numbing the penis. Oral medications delay the ejaculatory reflex by acting on the central nervous system. However, these methods have some limitations:

In cases where traditional methods are insufficient or not preferred by the patient, the medical world seeks new and more permanent solutions. This is where Selective Dorsal Cryoablation (SDC) comes into play. SDC is a minimally invasive treatment method that targets the hypersensitivity of the penis, which is one of the primary causes of premature ejaculation.

SDC works by targeting a specific portion of the dorsal nerves of the penis, which are located on the back of the penis and transmit sexual stimulation to the brain. Hypersensitivity of these nerves is a major cause of premature ejaculation. In the SDC method, these nerve endings are frozen using a special cryoprobe (cold application device). The freezing process temporarily or permanently reduces the transmission capacity of the nerves, thereby balancing the sensitivity of the penis. This raises the ejaculatory threshold, allowing the individual to have more control. This method is much more precise and selective compared to traditional surgical denervation procedures.

In my clinic in Adana, I perform the Selective Dorsal Cryoablation procedure under local anesthesia, typically in a comfortable setting lasting 30-45 minutes. During the procedure, I use ultrasound guidance to precisely identify the target nerve endings. This ensures that while the overall sensitivity of the penis is preserved, only the nerve transmission in the hypersensitive areas is modulated. After the procedure, my patients can usually return to their normal daily activities on the same day. I successfully apply this method for patients visiting my clinic from Mersin and surrounding areas of Adana as well.

Based on my experience and studies in international literature, I observe that Selective Dorsal Cryoablation offers significant advantages in the treatment of premature ejaculation:

Selective Dorsal Cryoablation may not be suitable for every patient with premature ejaculation. In my clinic, I conduct a detailed anamnesis (medical history), physical examination, and, if necessary, additional tests for each patient to make a personalized assessment. SDC can be an important alternative, especially for patients who have not benefited sufficiently from other treatment methods or are seeking a permanent solution. The treatment decision is made with a multidisciplinary approach, considering the patient's general health status, expectations, and the severity of premature ejaculation.

Premature ejaculation is not a condition to be ashamed of or simply accepted. Modern medicine offers effective and innovative solutions for this issue. In my practice in Adana, I aim to provide scientific and ethical solutions to my patients' sexual health problems. If you are experiencing premature ejaculation and wish to improve your quality of life, you can contact me for a detailed evaluation and information about personalized treatment options. Remember, significant improvements in your sexual life are possible with accurate diagnosis and a tailored treatment plan.