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Selective Dorsal Neurectomy (SDN)

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Selective Dorsal Neurectomy (SDN) For Premature Ejaculation

What is Selective Dorsal Neurectomy (SDN)

Selective Dorsal Neurectomy (SDN) is a specialised surgical procedure designed to address premature ejaculation by cutting specific nerves in the penile region. This intervention aims to reduce penile sensitivity, thereby helping men to manage premature ejaculation more effectively and improve their sexual performance and satisfaction.


How Does It Works?

During the SDN procedure, a surgeon identifies and selectively cuts overactive sensory nerve fibres in the penile dorsal nerves. These nerves are responsible for transmitting sensory signals that can lead to premature ejaculation. By interrupting these signals, the procedure helps in delaying ejaculation, providing better control and improving sexual experience.



  • Delayed Ejaculation: Significant improvement in the control over ejaculation, allowing for longer sexual activity.
  • Enhanced Sexual Satisfaction: Better sexual performance and satisfaction for both partners.
  • Increased Confidence: Improved confidence and reduced anxiety related to sexual performance.
  • Minimally Invasive: The procedure is minimally invasive, promoting a quicker recovery.


Candidates for SDN

Ideal candidates for Selective Dorsal Neurectomy are typically individuals who:

  • Experience severe premature ejaculation that affects their sexual performance and quality of life.
  • Have not responded adequately to other treatments such as medications, behavioural therapies, or less invasive procedures.
  • Are generally in good health and can undergo surgery.


selective dorsal neurectomy

Procedure Details

  1. Anaesthesia: On the day of surgery, patients are administered a local anaesthetic to ensure they are comfortable and pain-free throughout the procedure.

  2. Incision: The surgeon makes a small incision in the penile area, specifically targeting the dorsal nerves.

  3. Identification of Nerve Fibres: The surgeon identifies the specific sensory nerve fibres responsible for premature ejaculation. This step requires precision and expertise to selectively target the overactive nerve fibres while preserving essential neural pathways.

  4. Neurectomy: Using microsurgical techniques, the surgeon cuts the identified overactive nerve fibres. This process interrupts the neural signals responsible for premature ejaculation, effectively improving control over ejaculation.

  5. Closure: Once the neurectomy is completed, the incision is closed using sutures or surgical staples. Special care is taken to ensure proper wound closure and minimise the risk of complications such as infection or excessive scarring.


Risks and Considerations

As with any surgical procedure, SDN carries potential risks such as infection, bleeding, or nerve damage. However, these risks are minimised by the expertise of our skilled surgical team. It is crucial to have a thorough discussion with the surgeon to understand the benefits and risks specific to your condition.

We are committed to providing exceptional care through a multidisciplinary approach. Our team of experienced surgeons, physiotherapists, and sexual health specialists work together to ensure the best possible outcomes for our patients. We use state-of-the-art technology and personalised treatment plans to help you achieve optimal results.


Contact Us

For more information about Selective Dorsal Neurectomy and to schedule a consultation, please contact us HERE. Our dedicated team is here to support you every step of the way.

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Disclaimer: Please note that Selective Dorsal Neurectomy is an alternative procedure and is not included in standard medical guidelines. A thorough consultation with the doctor is essential well before undergoing the procedure, and a patient consent form will be required.

Frequently Asked Questions

Find answers to common questions about our SDN.

Selective Dorsal Neurectomy is primarily indicated for individuals with conditions causing severe premature ejaculation that have not responded adequately to other treatments, such as medications or behavioural therapy. It is particularly beneficial for patients seeking alternative solutions to manage their condition effectively.

During SDN, a surgeon selectively cuts overactive sensory nerve fibres in the penis. These nerve fibres are responsible for transmitting signals that contribute to premature ejaculation. By interrupting these signals, SDN helps to delay ejaculation and improve sexual function, leading to enhanced sexual experience and quality of life.

Like any surgical procedure, SDN carries inherent risks, including infection, bleeding, nerve damage, or adverse reactions to anaesthesia. However, these risks are minimised by the expertise of our skilled surgical team and comprehensive preoperative evaluation. Patients are thoroughly informed about potential risks and benefits before undergoing SDN.

The SDN procedure typically takes approximately one hour to complete. Recovery time varies depending on individual factors, this may include rest, avoidance of sexual activity for a specified period, and other interventions tailored to each patient’s needs.

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