One of the most common concerns for patients considering surgical treatment for premature ejaculation is the technical details of the operation: "How is this surgery performed, and will it damage the organ?". This article explains all the essential surgical steps involved in Selective Dorsal Nerve Modulation surgery.
Preoperative Planning and Anesthesia
Prior to surgery, sensitive regions of the penis and the local nerve mapping are thoroughly evaluated. The operation is performed under general or spinal anesthesia based on patient preference and surgical suitability, within a fully equipped operating room environment. Patients experience no pain or discomfort during the procedure.
Microsurgical Procedure Steps
The surgical procedure is carried out through the following clinical steps:
- Minimal Incision: Access to the dorsal nerve bed is gained via a small, aesthetically placed incision along the circumcision line or at the base of the penis.
- Microsurgical Dissection: Utilizing an operating microscope, the primary arteries, lymphatic channels, and nerve branches leading to the penis are separated with millimeter precision.
- Selective Modulation: Secondary sensory nerve fibers responsible for hypersensitivity are precisely modulated using specialized instruments. Cavernous nerves responsible for erectile function are strictly preserved.
- Aesthetic Closure: The incision line is closed using self-dissolving absorbable sutures, eliminating the need for suture removal.
Following this precise operation, which lasts approximately 45 minutes, patients are typically discharged on the same day or the following morning to resume daily activities.