Is There a Surgery 🔪 for Premature Ejaculation?

If you've tried everything under the sun to last longer in bed but nothing ever worked, you might be wondering if medical professionals have developed a surgical solution to stop your premature ejaculation once and for all.

This is exactly what this article is about. 

👉 Is there any surgery to fix or cure premature ejaculation?

There are 5 main surgeries that are used for premature ejaculation:

• radical circumcision 
• frenuloplasty 
• glans denervation 
• penile girth enhancment
• penis glans augmentation

These surgeries, however, are far from being perfect and often result in very unpleasant complications. If you expect them to cure your lifelong premature ejaculation, you will be disappointed.

Which is why I do not recommend any of those. ❌ (Unless you really need frenuloplasty due to a shortened frenulum.)

There are way better ways to start lasting longer in bed within weeks, naturally, without going under the knife 🔪. Everyone can do it. 

If you want to find out more how you can do it, let's just hop on a FREE consultation call, where we'll discuss what's possible for YOU. Click the button below to book your free call:

Now let's talk about each possible surgery for PE, what they cost, what are the risks and benefits.

5 Surgical Treatments for Premature Ejaculation in 2023-2024

1. Circumcision (not recommended ❌)

The idea behind circumcision for premature ejaculation is simple: you do the surgery, lose sensitivity and last longer in bed. However it's not that simple.

Most men think that they can do any type of circumsision and they'll lose sensitivity in their penis. In reality though that's only the case for the "Low & Tight" type of circumcision.

I'll explain the other 3 types of circumcision below, but let's first see how the low & tight circumcision decreases penile sensitivity and why you won't last longer after getting this surgery 🤷‍♂️.

1. LOW & TIGHT (radical circumcision)

“LOW & TIGHT” – with this type of circumcision the sensitive foreskin is completely removed, the exposed glans rubs against underwear, toughens up, and loses sensitivity.

And as a result, you get full control over your ejaculation. Right ?

Not quite.

Studies show: circumcised men last at most 1-2 minutes longer during sex than non-circumcised men - regardless of the type of circumcision. ¹Yang et al., Circumcision does not have effect on premature ejaculation: A systematic review and meta-analysis. PubMed

So the irony of this is - YES, you will lose tons of sensitivity with this type of circumcision (you won't with other types), but you WILL NOT last longer in the end. 

The reason why no type of circumcision will improve your stamina is probably the fact that premature ejaculation has a lot to do with the prostate and the overall rapid arousal rather than just with the sensitivity of your penis tip.

Hence, circumcision - good for hygiene ✔️, useless for stamina ❌.

Other Types of Circumcision

(I wish I had opted for HIGH & LOOSE, which improves hygiene but also preserves all those sensations 😢. Hint: you don't need to reduce penile sensitivity to last longer in bed ☝️. )

Now let's talk about whether the effort is worth it and whether you should get a circumcision to fight premature ejaculation or not.

Do circumcised men last longer than uncircumcised men? Will being circumcised help at least a tiny bit to delay ejaculation?

As already stated before - no. Although circumcision may seem promising for men who orgasm quickly at first, after circumcision they always find out that it doesn't improve their stamina even in the slightest.

Numerous studies also show that circumcised men can last at most 1-2 minutes longer during sex than non-circumcised men.

In a cross-sectional study, Yang and his colleagues analyzed data from a total of 10,019 circumcised and 11,570 uncircumcised men and found that circumcision does not alleviate premature ejaculation. ((Yang et al., Circumcision does not have effect on premature ejaculation.)) The sexual endurance of circumcised men increased on average by just under 1 minute.

My own experience can confirm this. I underwent circumcision hoping to last longer and was even operated twice: the first operation was a "low and loose" circumcision, the second was a "low and tight" circumcision, where you are supposed to lose most of your sensitivity.

And hell yes I did lose lots of sensitivity - a blowjob, for example, feels way less enjoyable now than it used to.

But in terms of ejaculation control - the result was sobering: 1-2 minutes longer at best. Basically no change. It was only years later that I learned how to control my ejaculation, and I made sure to share my knowledge. Book a free consultation call with me to find out more.

Bottom line is - do it for hygiene, not for stamina.

Costs of a circumcision

The costs vary from clinic to clinic. You can expect to pay anything from $300 to $5000. The operation takes about 30-50 minutes.

2. Frenuloplasty

If your frenulum is too short, it can pull on the glans during erection, overstimulate the penis and accelerate the ejaculation.

(Very rare cause of PE btw.)

Solution - frenuloplasty. The shortened frenulum is removed or cut in the middle and sewn up again lengthwise. This makes it longer and it no longer pulls on the glans, ejaculation control and sex duration normalize (IF it was the single cause of premature ejaculation).

The procedure takes 15 minutes, costs $500. But it really only makes sense if your frenulum is super shortened and causes overstimulation, otherwise it won't help. When in doubt, ask your urologist.

Here is a before and after picture of such a radical frenuloplasty (complete removal) :

This was exactly the treatment I opted for when I was circumcised (radical circumcision). However, since the shortened frenulum was not responsible for my premature ejaculation back then, it didn't help at all.

Frenuloplasty surgery therefore only makes sense for premature ejaculators with a shortened frenulum as cause for PE.

Frenuloplasty surgery is performed under local anesthesia and only takes 15 minutes. That's why it costs less than circumcision: between €200 and €500 Germany, probably way more in US.

3. Denervation of the glans penis, aka "selective dorsal neurectomy"

During denervation of the glans, also known as Selective Dorsal Neurectomy or SDN, the nerve connections leading to the glans are severed in order to reduce the sensitivity of the glans.

Here's how it's done: 

The Nerves leading to the tip of the penis are severed, the penis becomes insensitive and, according to studies, you can now last about 2 minutes longer  during sex.

I had this operation done on me years ago in Moscow - I was desperate - and i can confirm - all you get is roughly 1-2 minutes additional stamina. In my case - almost all of the penis head nerves were cut, foreskin completely removed - but my ejaculation control remained about the same as before.

I paid about $1000 for everything years ago, nowadays the price ranges between $2000-$5000.

The most common complaint of this surgery: sudden erection problems.

I do NOT recommend this surgery. 

Also, this treatment is not recommended for guys older than 30 - in a recent study it was shown that the success rate for men over 30 is very bad. ² Correlation between age and curative effects of selective dorsal neurectomy for primary premature ejaculation link

But what about those younger than 30? What can be expected?

The ejaculation-delaying effect of this treatment is not as good as one might hope it is: the intravaginal lasting time (IELT) increases on average from approx. 1.1 minutes to 3.8 minutes after the operation. ³G.‐X. Zhang et al. Selective resection of dorsal nerves of penis for premature ejaculation Link

Is that something to go under the knife for? Hm...🤔

Also, beware of sudden erection problems or anorgasmia. Here is a report from a patient:

I liked having an insensitive glans at the beginning and also now being circumcised - very practical, the glands are gone, the smell is gone, uncomplicated hygiene. But the duration of intercourse only increased initially slightly and the effect is now completely gone. Ergo:
-  I'm not getting any younger
- The sensitivity of the glans is gone.
- But my stamina during sex is now exactly the same as before.
- And it's getting harder and harder to get an erection.

Source

4. Penis Glans Augmentation (Hyaluronic Acid)

The idea is simple: hyaluronic acid is injected under the skin of the penis head in order to make it larger and to reduce its sensitivity. And as a result, you should be able to last 1.5 to 2.5 minutes longer during sex 🎉. ⁴T I Kwak et al Long-term effects of glans penis augmentation using injectable hyaluronic acid gel for premature ejaculation Link

In a study conducted in Korea, the average time the test subjects were able to hold out after a glans thickening procedure increased from 1.5 minutes to 4.5 minutes.⁵Kim JJ Effects of glans penis augmentation using hyaluronic acid gel for premature ejaculation. Link

However other studies found that the ejaculation-delaying effect was much weaker on average and disappeared completely after only a few months ⁶Amr Alahwany, Mohamed W. Ragab et al Hyaluronic acid injection in glans penis for treatment of premature ejaculation: a randomized controlled cross-over study Link :

5. ADM Penile Girth Enhancement 

Chinese doctors invented a treatment in which artificial dermal tissue is placed under the skin of the penis, which then "encases" the inner penis parts from the inside.

This material is ADM (acellular dermis matrix) - a piece of tissue obtained from pig or human cadavers and contains only collagen without cells so that it is not rejected by the body. Acellular dermis matrix is also used for breast augmentation.

The procedure results in a penis which is not only thicker, but also less sensitive, allegedly giving you about 0.6 - 2,37 extra minutes of lasting time during sex.⁷Hai Wang et al Surgical treatment for primary premature ejaculation with an inner condom technique Link

Do I recommend this treatment?  - Fuck NO. 

Risks include death of skin cells and penile deformities. Check these pics:

NSFL photo examples of complications. Before you let a surgeon do irreversible damage to you for your own money, you better just lose your money on ineffective treatments like hypnotherapy for PE, yet at least stay healthy. 

How to last longer without dangerous surgical treatments

As you can see, researchers and surgeons are trying hard, but have not yet managed to come up with an acceptable surgical treatment for premature ejaculation.

Even if you accept the risk of side effects such as loss of erection or penis deformation, the result is still a maximum of 2-3-4 minutes of additional lasting time. With a weaker erection that is, as a side effect.

Nobody wants to last just 2 minutes longer.

You want to be able to have sex for 10-60 minutes and enjoy it to the fullest, and make your partner get her pleasure out of it too.

And luckily you don't need a surgery for that.

Because I have developed a simple 5 Step Process for exactly that, enabling every man with premature ejaculation to start lasting 10-60 minutes in bed within weeks.

My method works very safely and has already helped hundreds of men like you. If you want to learn more, click here: Lover Stamina System - 5 steps that force you to last 10-60 minutes longer in bed.

See you there!

-David