I suffer from a condition since birth called Paroxysmal sympathetic hyperactivity which basically increases anxiety and so on

Hello good evening.

Мy name is hazem and I am a 25 years old male from egypt.

I suffer from a condition since birth called Paroxysmal sympathetic hyperactivity which basically increases anxiety and so on.
One of the side effects is premature ejaculation, i had no problem when i was younger but it's getting worse as i grow up, now i can last for approximately 5 minutes in the first sexual session during the day.

I find it hard to control ejaculation due to the overwhelming sensation.

Long story short, i would like to know details about the permanent surgery of the premature ejaculation in your center, the cost and duration and everything.

Dear Hazem,

According to European Association of Urology (EAU) guidelines surgical treatment of premature ejaculation (e.g. selective dorsal neurectomy(SDN)) is an unconventional therapeutic option. Due to the possible risk of sexual function permanent loss guidelines do not recommend it. Nevertheless, the efficacy of surgical treatment has been evaluated in several Asian clinical trials.
Here in Sechenov University we recommend selective dorsal neurectomy only for patients which are not satisfied with all of the EAU-recommended treatments, which include psychobehavioral
strategies and pharmacotherapy (dapoxetine, off-label use of SSRIs and clomipramine, topical anesthetic agents, and phosphodiesterase type 5 inhibitors). But we usually warn our patients of all probable negative consequences of surgical PE treatment and the final decision is up to the patient.
Before hospital admission you have to attend a pre-operative assessment:

• FBC
• U&Es
• LFTs
• Calcium
• Clotting
• Group and save (or hold)
• Urinalysis
• CXR
• ECG
• Visit of GP

When pre-op assessment will be done the doctor will set a surgery date. Hospitalization time will take about 24-48 hours and then you will be discharged. The surgery is usually done under local anesthesia but it can be done under general anesthesia as well. In 10 days after surgery the sutures from the skin have to be removed.
The prize for this type of operation in our clinic ranges from 500 to 800 $ (it depends on anesthesia type, postoperative hospitalization time, and room class)
I hope you will find this data usefull. If you require anyfurther information, feel free to contact us. Best regards,
Dmitry O. Korolev
Urology consultant
Sechenov University

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