Premature Ejaculation Nerve Block Surgery: Key Questions Answered - Urology

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Premature ejaculation (PE) is a common condition that affects many men, and nerve block surgery is one of the treatment options that has been explored. Here, I will address your questions regarding this surgical intervention, its effectiveness, potential risks, and costs.

1. Will the nerve block surgery for premature ejaculation make me last longer, or will it prevent ejaculation altogether?
The primary goal of nerve block surgery for premature ejaculation is to increase the duration of sexual intercourse by delaying ejaculation. The surgery typically involves targeting specific nerves that are responsible for the ejaculatory reflex. While many patients report an improvement in their ability to control ejaculation, it is important to note that outcomes can vary. Some men may experience a significant increase in duration, while others may find that they still ejaculate relatively quickly. In rare cases, there may be a risk of retrograde ejaculation, where semen enters the bladder instead of exiting through the penis, which could lead to the inability to ejaculate externally.

2. How effective is the surgery, and how long can the effects last?
The effectiveness of nerve block surgery can vary widely among individuals. Some studies suggest that many patients experience a noticeable improvement in their condition, with some reporting lasting effects for several months to years. However, the long-term success of the procedure can depend on various factors, including the underlying cause of premature ejaculation, the specific surgical technique used, and individual patient characteristics. It is essential to have realistic expectations and to discuss these with your surgeon.

3. What is the cost of premature ejaculation nerve block surgery?
The cost of nerve block surgery for premature ejaculation can vary significantly based on several factors, including the healthcare provider, geographic location, and whether the procedure is performed in an outpatient or inpatient setting. On average, the cost may range from a few thousand to several thousand dollars. It is advisable to check with your insurance provider to see if the procedure is covered under your plan, as many insurance companies may not cover surgeries deemed as elective or for conditions like premature ejaculation.

4. What are the risks or potential side effects of the surgery?
As with any surgical procedure, there are inherent risks involved. Some potential complications of nerve block surgery for premature ejaculation may include:
- Infection at the surgical site
- Nerve damage, which could lead to altered sensation or pain
- Retrograde ejaculation, as mentioned earlier
- Changes in sexual function, including erectile dysfunction or changes in orgasm sensation
- Scarring or other complications related to the surgical procedure
It is crucial to have a thorough discussion with your surgeon about these risks and to weigh them against the potential benefits of the surgery. Additionally, exploring non-surgical options, such as behavioral techniques, medications, or counseling, may also be beneficial before deciding on surgical intervention.

In conclusion, nerve block surgery for premature ejaculation can offer benefits for some men, but it is not without risks and uncertainties. It is essential to consult with a qualified urologist or sexual health specialist who can provide personalized advice based on your specific situation and help you make an informed decision about your treatment options.