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If different partners affect us and our ejaculation time, how do we know if this requires a completely surgical procedure?
Now, If premature ejaculation is less than 2 minutes, if you have sexual intercourse twice in the same week in the same parties, if you still ejaculate prematurely, if you ejaculate in less than 2 minutes, this means that you have a premature ejaculation problem. You should stay with the same partner twice a week and stay under 2 minutes almost every time. This criterion must be present to say that I have a premature ejaculation problem.
But even if you had premature ejaculation surgery, let’s say you met a very legendary woman who excites you, okay? You may get so excited that you may highlight other factors other than the penis, so much so that you may ejaculate prematurely. This can be considered normal.
But if you are still having problems with the relationship twice a week and for a long time, for example at least 6 months,with the same woman, then it means that you have a premature ejaculation problem.
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You know, we have our dorsal neural nerve network on the back of the penis. From this nerve network, our nerves come to the glans region of the penis, and a main branch branches off approximately in the middle region. This main branch comes from here, divides into small fringes and progresses towards the lower region of the glans. It’s right here in what we call the lower region of the glans.
What are we doing? During penis surgery, after making a 2-centimeter incision on the back of the penis, we reach these nerve tissues. Studies have shown that; In people who ejaculate prematurely, the diameter of the nerves on the back of the penis are thicker than in the normal population, and therefore, depending on the friction in the vagina at the tip of the penis, the signals going from the tip of the penis to our brain are transmitted much more.
So what is primary ejaculation? So what is our process? As I explained, a nerve reaches a peak after an increase of up to 90 millivolts , and from this digestion action it starts to transmit information to our brain, at the point of yes I need to ejaculate. But there is a limit to the signal that a nerve can transmit frequently. You may think that always waiting for the nerve to be thick means that when it is thick, it goes and passes more.
Now, one way or another, your nerve is thick or thin, or more or less than impus. To decide that we use local anesthesia creams here, any local anesthesia cream in the pharmacy will do. You wait for half an hour and have intercourse. Did your ejaculation time take longer? Yes. Then our problem is this nerve. It means we made the right decision.
Since the problem is nerves, then I will slow down the conduction of these nerves. All nerve cell has an axon. We have structures that we call dendrites. This transmission pathway of ours needs to stop so that there are receptors from the receptors to the dendrites and the flow from the receptors to the dendrites decreases. Actually, if you look at it, we need to slow down these pathways, We don’t want to completely destroy the nerves here or completely reset them. And we remove these with a procedure we call neurotomy, in which there are more than two main nerves, and around them there are 6 to 8 thinner nerve networks, which vary from person to person. We cut the ones over one millimeter completely and reattach them with a small stitch. By completely putting out very thin ones and leaving them alone, we reduce the neural transmission.
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