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How is Selective Dorsal Cryoablation Surgery Performed?

Dear patients and visitors to my website,

As a urology specialist, Op. Dr. Fettah Tosun, I provide services to my patients in my clinic on many aspects of men's health. Premature ejaculation (PE) in particular is a significant issue that I frequently encounter among our patients in Adana and the Çukurova region, and it can seriously affect quality of life. This condition can negatively impact not only the individual but also their relationship with their partner. In cases where traditional treatment methods are insufficient or the patient is seeking a more permanent solution, we evaluate advanced technology-based options such as Selective Dorsal Cryoablation (SDC) surgery. In this article, I will share my experiences regarding how Selective Dorsal Cryoablation surgery is performed in my clinic, its scientific basis, and the benefits it offers to my patients.

What is Selective Dorsal Cryoablation (SDC)?

Selective Dorsal Cryoablation is an innovative surgical approach I apply in the treatment of premature ejaculation, especially in cases arising from penile hypersensitivity. While international urology guidelines (e.g., EAU - European Association of Urology) recommend various steps in PE treatment, including behavioral therapies, medication, and topical anesthetic creams, surgical options may also be considered for a selected group of patients who do not respond to these treatments or seek a more permanent solution. SDC aims to reduce the sensitivity of specific branches of the penile dorsal nerves by targeting them with controlled cold energy (cryotherapy). This procedure aims to raise the ejaculatory threshold, thereby extending the ejaculation time. In many of my patients who consult my clinic from Mersin, Adana, and surrounding areas, I observe that this method yields very satisfying results with proper patient selection.

Why Selective Dorsal Cryoablation?

For some patients, oral medications (SSRIs) or topical creams may not provide sufficient effect or may be undesirable due to side effects.

Behavioral therapies may not offer a permanent solution for everyone.

SDC has the potential to offer a more permanent solution, especially in cases of primary premature ejaculation linked to penile hypersensitivity, by addressing the root cause of the problem.

It is part of my approach in my clinic to offer the most current and effective treatment methods to improve my patients' quality of life.

How is the Surgery Performed?

Selective Dorsal Cryoablation surgery is a minimally invasive procedure, usually performed under local anesthesia, meticulously carried out with modern medical equipment in my clinic. Before the surgery, I conduct a detailed urological examination of my patients, evaluate their medical history, and request necessary tests to understand the causes of premature ejaculation. This assessment is critical for me to determine if the patient is a suitable candidate for SDC.

Steps of the Surgery:

Preparation: Local anesthesia is administered to ensure the patient's comfort. This ensures the patient does not feel any pain or discomfort during the procedure.

Nerve Identification: Using special techniques and sometimes electrophysiological methods, the specific branches of the penile dorsal nerves that cause hypersensitivity in the ejaculatory reflex are precisely identified. This step is vital for the effectiveness and safety of the treatment.

Cryoablation Application: Controlled cold energy is applied to the identified nerve branches via a special cryoprobe. This process temporarily or permanently modulates the function of the nerve fibers, reducing sensitivity. The procedure aims to affect the targeted nerves without damaging surrounding tissues.

Post-Procedure: The surgery is usually short, and patients can be discharged on the same day. In the post-procedure period, I provide my patients with detailed care instructions and closely monitor their recovery process.

Advantages and Considerations of SDC

The Selective Dorsal Cryoablation treatment I apply in my clinic offers significant advantages for suitable patients. However, as with any medical procedure, it is essential to carefully evaluate the potential benefits and risks.

Advantages:

Minimally Invasive: It is a less traumatic method that does not require large incisions.

Potential for Permanent Results: With proper patient selection, it can provide long-lasting or permanent improvement.

Quick Recovery: Patients can usually return to their daily activities in a short period.

Improved Quality of Life: Achieving ejaculatory control positively impacts sexual confidence and partner relationships.

Accessibility in Adana: I offer this advanced technology treatment to my patients in Adana and the surrounding areas at my clinic.

Considerations:

Proper Patient Selection: SDC is not suitable for every case of premature ejaculation. Success depends on accurate diagnosis and patient selection.

Experienced Surgeon: Due to the precision of the procedure, it is crucial that it is performed by an experienced urologist.

Potential Side Effects: Rarely, mild side effects such as temporary numbness, swelling, or bruising may occur. Serious complications are extremely rare.

Premature ejaculation is a common problem that negatively affects men's sexual health and overall quality of life. In my clinic, I offer personalized treatment approaches to my patients in Adana, Çukurova, and the Mediterranean region, in accordance with international standards. Selective Dorsal Cryoablation is a promising, modern, and effective treatment option for suitable patients. If you are facing this issue and would like to learn more about treatment options, do not hesitate to schedule an appointment to consult with me at my practice. Together, we can take the first step towards a healthy and happy sexual life.