Managing Sensitivity: Surgical Options for Frenulum-Related Premature Ejaculation

Q: Managing Sensitivity: Surgical Options for Frenulum-Related Premature Ejaculation

Hello： It should not be necessary, as most people are naturally sensitive to the ligaments. <br>Wishing you good health.

Sensitivity of the frenulum leading to premature ejaculation?

I would like to ask if there are any surgical options to adjust or remove the frenulum, as I previously underwent a circumcision and have since experienced increased sensitivity, leading to premature ejaculation.

Ming, 20~29 year old female. Ask Date: 2021/07/07

Dr. Du Shixi reply Urology

Hello: It should not be necessary, as most people are naturally sensitive to the ligaments.
Wishing you good health.

Reply Date: 2021/07/07

More Info

Managing sensitivity and premature ejaculation (PE) related to the frenulum can be a complex issue, especially after circumcision. The frenulum, a band of tissue on the underside of the penis, plays a significant role in sexual sensitivity. After circumcision, some individuals report increased sensitivity in the glans (the head of the penis), which can lead to difficulties in controlling ejaculation.

Surgical Options
1. Frenuloplasty: This is a surgical procedure that involves modifying the frenulum to reduce sensitivity. The frenulum can be lengthened or repositioned to decrease the tension and sensitivity during sexual activity. This procedure is relatively minor and can often be performed under local anesthesia.

2. Frenectomy: In some cases, a complete removal of the frenulum may be considered. This procedure can significantly reduce sensitivity, but it may also alter the sexual experience. It is essential to discuss the potential outcomes and risks with a qualified urologist or sexual health specialist.

3. Desensitization Techniques: Before considering surgery, some individuals may benefit from non-surgical approaches. These can include the use of desensitizing creams or sprays that contain lidocaine or benzocaine. These topical anesthetics can help reduce sensitivity temporarily and may assist in managing premature ejaculation.

4. Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can help individuals gain better control over ejaculation. These methods involve practicing control during sexual activity and can be effective in managing PE.

5. Counseling and Therapy: Sometimes, premature ejaculation can be linked to psychological factors such as anxiety or stress. Speaking with a therapist who specializes in sexual health can provide strategies to manage anxiety and improve sexual performance.

Considerations
Before proceeding with any surgical option, it is crucial to have a thorough evaluation by a healthcare professional. They will assess your specific situation, including your medical history, the degree of sensitivity, and any other factors that may contribute to premature ejaculation.
Additionally, it is essential to have realistic expectations regarding the outcomes of any surgical procedure. While surgery can help reduce sensitivity, it may not completely resolve issues related to premature ejaculation. Combining surgical options with behavioral techniques or counseling may yield the best results.

Conclusion
If you are experiencing increased sensitivity and premature ejaculation following circumcision, there are surgical options available, such as frenuloplasty or frenectomy, that may help. However, it is vital to consult with a urologist or a sexual health specialist to discuss your symptoms, explore all available options, and determine the best course of action tailored to your needs. Remember, managing sensitivity and premature ejaculation often requires a comprehensive approach that may include both surgical and non-surgical strategies.

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