Selective Dorsal Neurectomy
Lasting control without losing sensation — an advanced microsurgical solution for premature ejaculation, with a typical 3–5× increase in lasting time.
Overview
Selective Dorsal Neurectomy (SDN) is a microsurgical procedure for men whose premature ejaculation is driven by heightened penile sensitivity. For many men, the issue isn't willpower or anxiety — it's biology. When the dorsal nerves of the penis carry an oversupply of sensation, the threshold for ejaculation is reached far too quickly, no matter how hard you try to slow things down. SDN addresses that root cause directly by selectively reducing the over-active sensory signal, so your body has more time before the reflex is triggered.
The key word is selective. The surgeon targets only the sensory nerve fibres responsible for the excessive sensitivity, while carefully preserving the nerves that drive erection and the natural sensation that makes intimacy pleasurable. The goal is not numbness — it is control. Most men report better timing and confidence while still feeling everything they want to feel.
At MENHANCE, SDN is performed as an outpatient procedure using a circumferential desensitisation technique, with minimal recovery time. It is typically considered once non-surgical options haven't given enough improvement. Patients usually experience a 3–5× increase in their baseline intravaginal ejaculation latency time (IELT) — for example, a baseline of around 1.5 minutes extending to roughly 4.5–7.5 minutes once healed. Results vary from man to man and can't be guaranteed, but the benefit is long-term, with no need to repeat the procedure.
Key benefits
- Typical 3–5× increase in lasting time (IELT)
- Reduces hypersensitivity at the source for real, physical control
- Preserves natural sensation and erectile function — control, not numbness
- Advanced microsurgical, circumferential desensitisation technique
- Outpatient procedure with minimal recovery
- Long-term benefit — a one-time procedure, no need to repeat
- Direct post-procedure access to your surgeon
How it works
Premature ejaculation often comes down to nerves that simply carry too much signal. SDN turns down that excess at the source — here's the idea in one picture.
The treatment, step by step
- ConsultationWe confirm that heightened sensitivity is the driver, review your history, and rule out other causes so SDN is genuinely the right fit.
- Tried non-surgical care firstSDN is recommended when options such as HA fillers or oral medication haven't delivered enough improvement on their own.
- PreparationThe procedure is done in a sterile, fully equipped operating room. The area is prepared and made comfortable before the surgeon begins.
- MicrosurgeryUsing a circumferential desensitisation technique, the surgeon selectively reduces dorsal nerve sensitivity while preserving erectile function — an outpatient procedure of around one hour.
- Recovery & follow-upYou go home the same day with simple aftercare guidance, minimal downtime, and direct access to your surgeon if you have any questions.
Why men choose MENHANCE
Who it's for
- Men whose premature ejaculation is linked to heightened penile sensitivity
- Those who haven't had enough improvement from non-surgical treatments
- Men who prefer a definitive, surgical approach with a long-term result
- Anyone who wants better control without sacrificing sensation or erections
- Men ready to address the physical cause rather than manage symptoms
Frequently asked questions
How much longer will I actually last?
Most men see a 3–5× increase over their baseline lasting time (IELT). For example, a starting point of around 1.5 minutes may extend to roughly 4.5–7.5 minutes once healed. Outcomes depend on your individual anatomy and severity, and can't be guaranteed.
Will it affect sensation or pleasure?
The technique is designed to reduce only the excess sensitivity while preserving natural penile sensation and erectile function. The aim is better control, not numbness — most men report they still feel everything they want to feel.
Is the result permanent?
SDN offers a long-term benefit. It is intended as a one-time procedure, with sustained improvement and no need to repeat it.
How long is recovery?
It's an outpatient procedure of about an hour, and recovery time is minimal. You'll go home the same day with straightforward aftercare guidance and your surgeon's direct contact.
Are there risks?
As with any procedure there are possible risks — infection, temporary swelling, or altered sensation — but these are uncommon when SDN is performed by an experienced urologist in a sterile setting.
Why surgery instead of medication or fillers?
Non-surgical options can help and are usually tried first. SDN is considered when those haven't given enough improvement, because it addresses the physical cause directly and gives a lasting result rather than an effect you have to keep topping up.