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Urology • Andrology • Men’s Health
Premature Ejaculation Treatment in Kyrenia / Cyprus
Premature ejaculation, medically called premature ejaculation, is not simply a matter of “short duration”. At ReSurgeClinic in Kyrenia / Cyprus, premature ejaculation is evaluated together with sensory sensitivity, ejaculation control pattern, pelvic floor muscle contribution, partner dynamics, performance anxiety and accompanying erectile dysfunction. The aim is not to give every patient the same treatment, but to create an individualized, cause-oriented and stepwise roadmap.
Duration and sense of controlSensory sensitivityPelvic floor assessmentIndividualized combined approachAssoc. Prof. Necmi BAYRAKTAR
During the first consultation
The onset of premature ejaculation, whether it occurs in every intercourse, the situation during masturbation, erection quality, partner dynamics and the patient’s real goal are clarified.
Clinical focus
To evaluate not duration alone, but sensory threshold, behavioral pattern, pelvic floor muscle control, anxiety level and accompanying erectile dysfunction together.
Treatment logic
An individualized plan starting with simple and low-risk steps and extending, in selected patients, to sensiometer assessment, digital behavioral therapy, magnetic chair, glans filler, cryoablation or surgical options.
Detailed information
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What is premature ejaculation?
Premature ejaculation is ejaculation occurring earlier than the individual or couple desires and repeatedly causing a sense of loss of control, stress, loss of self-confidence or relationship dissatisfaction. Its medical name is premature ejaculation.
In some patients it has existed since the first sexual experiences; in others it develops later. This distinction is important because lifelong, acquired, situationally increased premature ejaculation or cases associated with erectile dysfunction may require different approaches.
In patients presenting for premature ejaculation treatment in Kyrenia / Cyprus, our goal is not only to prolong duration, but to understand the main mechanism affecting control, relationship satisfaction and self-confidence.
Not every premature ejaculation case is the same
We do not view premature ejaculation only as a duration measured by a stopwatch. In some patients marked glans sensitivity is prominent; in others performance anxiety, learned behavioral patterns, mismatch of rhythm with the partner, pelvic floor overactivity or accompanying erectile dysfunction may be more important.
Therefore, instead of randomly choosing a spray, cream, medication or exercise method online, it is more accurate to distinguish the type, severity, duration, effect on the relationship and accompanying erection problem.
Especially in patients who have difficulty maintaining erection, a tendency to finish ejaculation quickly may develop. In such cases, focusing only on premature ejaculation may not be enough; erectile dysfunction should also be evaluated in the same consultation.
How do we evaluate it in our clinic?
During the first consultation, we evaluate how long the complaint has existed, whether it occurs in every intercourse, whether it changes with partner change, how it is during masturbation, the sense of control during intercourse and whether erection quality is affected.
In suitable patients, the glans sensory threshold may be assessed with a sensiometer for a more objective evaluation of sensory sensitivity. Pelvic floor muscle contribution, anxiety level, previous treatments, medication or cream use and patient expectations are also discussed.
Our aim is not to perform unnecessary procedures, but to understand which treatment step should truly be prioritized. A patient with marked sensory sensitivity and a patient in whom anxiety and control pattern dominate require different plans.
Our stepwise treatment approach
In the ReSurgeClinic approach, the aim is not to give every patient the same treatment, but to establish the order that will provide the most meaningful benefit with the lowest risk. Therefore, premature ejaculation treatment is often stepwise and individualized rather than single-stage.
Digital behavioral therapy to increase awareness of ejaculation control, magnetic chair and pelvic floor exercises targeting muscle coordination, medical options in suitable patients and selected interventional options may be combined according to the patient.
In some patients behavioral regulation and pelvic floor work alone may be sufficient, while in others methods modulating sensory threshold or more advanced interventional options may be considered.
Advanced options in selected patients
In selected patients with marked glans sensitivity, treatment-resistant complaints or a desire for a more permanent solution, glans filler, selective dorsal cryoablation or selective dorsal neurotomy may also be evaluated.
These options are not suitable for every patient. We consider them only after detailed examination, assessments such as sensiometer testing, expectation analysis and discussion of the benefit-risk balance.
For patients presenting with premature ejaculation in Kyrenia / Cyprus, the aim is not merely to describe a procedure, but to identify the step that is truly suitable and avoid unnecessary interventions.
Why is an individualized plan essential?
Because premature ejaculation is not a single-type problem. In a young patient, marked sensitivity may be the main issue; in another patient relationship anxiety, pelvic floor overactivity, a learned rapid ejaculation pattern or accompanying erectile dysfunction may be decisive.
The correct plan is made by evaluating the patient’s age, relationship structure, expectations, previously tried methods, desire for a permanent solution and examination findings together.
Therefore, at ReSurgeClinic, premature ejaculation treatment is planned not only with the goal of prolonging duration, but with an approach that addresses control, confidence, relationship satisfaction and accompanying men’s health problems together.
Treatments and procedures
Sensiometer
A sensiometer helps understand how much glans sensory sensitivity is clinically prominent. It is not necessary in every patient; however, it may guide the plan in selected patients with suspected marked sensitivity, treatment-resistant complaints or when advanced options are being considered.
Digital Behavioral Therapy
Digital behavioral therapy is a structured supportive approach targeting behavioral patterns affecting ejaculation control, arousal awareness, stop-start control and rhythm harmony with the partner. It may be used alone in selected patients or combined with other steps.
Magnetic Chair and Pelvic Floor Exercise
Magnetic chair and pelvic floor exercises aim to support awareness and coordination of pelvic floor muscles. They may be part of the plan in selected patients where muscle contribution is prominent and ejaculation control is affected by pelvic floor activity.
Glans Filler
Glans filler is an interventional option that may help modulate the sensory threshold in selected patients with marked glans sensitivity. It is not suitable for every premature ejaculation patient; correct indication and realistic expectation are required.
Selective Dorsal Cryoablation
Selective dorsal cryoablation is an advanced interventional option aiming to modulate sensory transmission at selected nerve fiber levels in a controlled manner. It is discussed only after detailed assessment in selected patients seeking a more durable solution.
Selective Dorsal Neurotomy
Selective dorsal neurotomy is a more advanced surgical step that may be considered in selected patients seeking a permanent solution. The surgical decision is not rushed; expectations, sensory assessment and possible risks are discussed clearly.
Frequently asked questions
Are premature ejaculation and early ejaculation the same?
Yes. The condition commonly known as early ejaculation is medically called premature ejaculation.
Which doctor should I consult for premature ejaculation in Kyrenia / Cyprus?
Premature ejaculation is evaluated within urology and andrology. Sensory sensitivity, pelvic floor contribution, behavioral pattern and accompanying erectile dysfunction are assessed together.
Is premature ejaculation completely psychological?
No. Psychological factors may be important; however sensory sensitivity, behavioral pattern, pelvic floor contribution, relationship dynamics and accompanying erectile dysfunction may also play a role.
Is a sensiometer necessary in every patient?
No. It may be helpful in selected patients with suspected marked sensory sensitivity, treatment-resistant complaints or when advanced options are being planned.
Can digital behavioral therapy be sufficient alone?
Yes in some patients. In others, it may be more appropriate to combine it with medical support, pelvic floor work, methods modulating sensory threshold or other steps.
What does the magnetic chair do in premature ejaculation?
It is a supportive method targeting pelvic floor muscles. It may be added to the plan in selected patients where pelvic floor control contributes to premature ejaculation.
Is glans filler suitable for everyone?
No. It is considered especially in selected patients with marked glans sensitivity. The same benefit should not be expected in every patient.
When is selective dorsal cryoablation considered?
It may be evaluated in suitable patients with marked sensory sensitivity, treatment-resistant premature ejaculation and expectation of a more durable solution, after examination and benefit-risk analysis.
When is selective dorsal neurotomy considered?
It is generally considered in more advanced, selected patients seeking a permanent solution after other steps, sensory assessment and benefit-risk balance are discussed.
Can premature ejaculation occur together with erectile dysfunction?
Yes. In some patients, fear of losing erection may accelerate ejaculation. Therefore erection quality should always be questioned together.
Is it right to choose methods online without examination?
Usually not. The suitable treatment step can only be chosen after the type of problem, sensory sensitivity, pelvic floor contribution, relationship dynamics and accompanying factors are understood.
