Selective Dorsal Neurectomy (SDN) At He Clinic
A doctor-led option for men seeking support with premature ejaculation.
Suffer from Premature Ejaculation? Explore our SDN
Take the first step toward better control and confidence.
- May help reduce penile sensitivity in selected patients (results vary)
- May support improved ejaculatory control and sexual confidence
- A minimally invasive, clinic-based procedure with structured aftercare
- Doctor assessment to confirm suitability and discuss alternatives first
Selective Dorsal Neurectomy (SDN) For Premature Ejaculation
What is Selective Dorsal Neurectomy (SDN)?
Selective dorsal neurectomy is a surgical technique that aims to reduce penile sensitivity by selectively interrupting specific sensory nerve branches along the dorsal nerve of the penis. It is sometimes discussed as a form of premature ejaculation surgery for carefully selected patients—typically after conservative treatments have not provided adequate improvement.
Because this is a surgical procedure, suitability, risks, and expected outcomes should be discussed in detail during consultation.
How does it work?
During SDN, the surgeon identifies targeted sensory nerve fibres that contribute to heightened penile sensitivity and selectively treats them using microsurgical technique. The intended goal is to reduce excessive sensory signalling and help improve control over ejaculation.
SDN is not designed to “guarantee a specific time” to ejaculation. Outcomes depend on individual anatomy, the type and severity of symptoms, and contributing factors such as anxiety, relationship stress, or co-existing erectile dysfunction.
Benefits
Many men consider SDN because it may help with:
- Ejaculatory control: some patients report improved control over ejaculation (results vary)
- Sexual confidence: improved confidence and reduced performance-related anxiety for some men
- Minimally invasive approach: typically a small incision with a planned recovery period
- Structured follow-up: clinician-guided aftercare and review
Your doctor will explain realistic expectations and whether SDN is appropriate for your symptoms and goals.
Candidates for SDN
SDN may be considered for men who:
- Experience persistent or severe premature ejaculation that significantly affects quality of life
- Have tried appropriate non-surgical options (e.g., behavioural techniques, counselling, topical options, or medication) without adequate improvement
- Are generally in good health and suitable for a minor surgical procedure
- Understand that outcomes vary and that sensory changes are possible
SDN may be less appropriate if premature ejaculation is primarily related to untreated erectile dysfunction, active genital infection/inflammation, or factors that should be addressed first (such as medication side effects, high anxiety, or relationship concerns). A doctor assessment helps clarify this.
Procedure Details
Assessment & consent: A confidential consultation reviews your symptoms, health history, and prior treatments. If SDN is considered, the doctor explains benefits, risks, and aftercare, and informed consent is required.
Anaesthesia: Local anaesthesia is typically used to support comfort during the procedure.
Incision: A small incision is made to access the targeted area.
Identification of nerve fibres: Using careful technique, the surgeon identifies the relevant sensory nerve branches. Precision is important to preserve essential pathways.
Selective neurectomy: The identified nerve fibres are selectively treated to reduce excessive sensory signalling.
Closure: The incision is closed with sutures (or as clinically appropriate), with attention to wound closure and infection prevention.
Procedure time: often around 1 hour, but can vary by individual and clinical complexity.
Risks and Considerations
As with any surgery, SDN has potential risks. Your doctor will discuss these in detail, including:
- Infection, bleeding, bruising, or swelling
- Changes in penile sensation (reduced, uneven, or altered sensation)
- Scarring or wound-healing concerns
- Persistent discomfort, nerve irritation, or (rarely) longer-term pain
- Results not meeting expectations, or symptoms persisting
A thorough consultation is essential to confirm suitability and to compare SDN with non-surgical options.
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.
Book your consultation now!
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.
Get this procedure for 49,900 baht
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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