Selective Dorsal Cryoablation for Premature Ejaculation | Dr. Cem Ipek – Androaesthe Istanbul

Premature ejaculation (PE) is one of the most common male sexual dysfunctions and can significantly affect quality of life for both the man and his partner. In addition to medical therapy and psychosexual techniques, a minimally invasive approach known as Selective Dorsal Cryoablation (SDC) may be considered for selected patients. At Androaesthe Clinic in Istanbul, Urologist Dr. Cem Ipek evaluates each patient comprehensively and offers SDC as part of an individualized treatment plan when appropriate.

What is premature ejaculation?

PE is defined as ejaculation occurring earlier than desired, often within 1 minute of penetration, accompanied by lack of control and personal distress. First-line therapies typically include SSRIs, topical anesthetics, and behavioral techniques. Interventional options like SDC are reserved for patients who do not respond adequately to conventional treatments.

What is Selective Dorsal Cryoablation?

SDC targets the dorsal penile nerve, which transmits sensation from the glans penis. Using controlled cold energy, the procedure reduces hypersensitive nerve conduction without cutting the nerve. This temporary reduction in sensitivity may help increase ejaculation time and improve ejaculatory control.

Who may benefit?

• Men with lifelong (primary) premature ejaculation,
• Those with documented glans hypersensitivity,
• Patients who did not respond to medications and behavioral therapy,
• Men with normal erectile function,
• Patients who understand that SDC is an interventional and partly experimental treatment.

How is the procedure performed?

• Assessment: Detailed medical and sexual history, physical exam, and necessary tests.
• Planning: Explanation of risks, benefits, and expectations.
• Local anesthesia: The area is numbed.
• Cryoablation: Controlled low temperature is applied along the dorsal nerve pathway.
• Same-day discharge: The procedure takes about 20–30 minutes.

Benefits of SDC

• Minimally invasive,
• Lower risk of permanent sensory loss compared to surgical neurotomy,
• Performed as a day-case procedure,
• May significantly improve ejaculation control.

Limitations and risks

• Long-term scientific data are limited,
• Success rates vary between individuals,
• Temporary numbness may occur,
• Rare infection or hematoma,
• Not guaranteed to work for everyone.

Personalized care with Dr. Cem Ipek

Androaesthe Istanbul is dedicated to men’s sexual health and andrology. PE treatment often requires a combination of approaches such as medication, behavioral therapy and, in selected cases, interventional procedures like SDC. Dr. Cem Ipek evaluates all contributing factors and offers SDC only to well-selected patients after comprehensive counseling.

Consultation & Appointment

If you experience premature ejaculation, seeking a professional evaluation from a urologist is essential. For information about SDC and other PE treatments in Istanbul, contact Androaesthe and schedule an appointment with Dr. Cem Ipek. This article is for informational purposes only. It does not replace a medical consultation.