Premature Ejaculation: Presentation

What is premature ejaculation ?

Premature ejaculation affects more than one man in five and 75% of men at some point in their sexual life.

We speak of premature ejaculation or premature ejaculation when the delay between the intromission of the penis and the ejaculation is less than two minutes with the impossibility of delaying the ejaculation and associated with a feeling of dissatisfaction or frustration of one of the two partners.

The estimated average delay of a normal ejaculation is 8 minutes on average.

Recommendations, exercises, drug treatments exist to delay ejaculation or cure premature ejaculation.

These treatments, although essential to know, are often insufficient to control a stress that is difficult to identify and characteristic of Premature Ejaculation. In fact, these means require a real personal investment, a deep will to get out of it and an important mental work to regain self-confidence, which are often difficult to overcome.
It was during the course of the consultations, through lengthy discussions with the patients, that Dr. Richard Diacakis, a plastic surgeon in Paris, realized that there was a real improvement in ejaculation retardation for patients suffering from premature ejaculation who had undergone penoplasty by injection of hyaluronic acid.

Thus, after many years of research and improvement of the technique in this indication, we can affirm that today the hyaluronic acid injection penoplasty, combined with the usual methods, is a real treatment method for premature ejaculation.

Before a hyaluronic acid injection
penoplasty intervention for premature ejaculation 

Only the doctor will be informed of your reason for consultation.
A prior consultation with Dr. Richard Diacakis is necessary before any intervention in order to define and identify as precisely as possible the influence of premature ejaculation in your personal, couple, social and professional life. 
The doctor will make an inventory of the possible treatments already tried and their results.  

To know more… : 

Premature ejaculation may be transient, intermittent, constant over time, and may involve all partners or only a few.
Premature ejaculation can occur when the partner undresses, during foreplay, at the time of intromission or shortly after. 
There are many more men who suffer from this disorder than you might think.

It is necessary to differentiate : 

Premature ejaculation (or premature ejaculation), qualified as primary, if it has always existed, i.e. since the first sexual intercourse.

Premature ejaculation, qualified as secondary, if it occurs after a period of satisfactory sexual functioning. 

Premature ejaculation is often accompanied by feelings of shame and guilt, with the sensation of an attack on virility that can lead to anger and depression.

Premature ejaculation is not a disease.

Premature ejaculation is completely reversible.

What are the treatments
for premature ejaculation ?

The treatment of Premature Ejaculation by conventional treatments has 4 axes : 

The psychotherapy of the patient and the couple helped by a doctor or a sexologist to decrease the anxiety of sexual performance and improve self-confidence. Dialogue and communication within the couple, which are often lacking, are essential.
Solve the psychological or relational problems that could be at the origin of premature ejaculation.
Behavioural therapy to manage arousal with the “stop and go” or squeeze.
Drug treatments to slow down ejaculation: anesthetic cream, antidepressants, serotonin inhibitors.

Why hyaluronic acid injection penoplasty allows better control of ejaculation in a context of premature ejaculation ?

There are four main reasons for this :

Having a larger penis allows you to have more self-confidence and thus reduce the anxiety that is always present in premature ejaculation syndrome.

The main reason is related to the injection technique. In fact, the injection of hyaluronic acid must be done in a well-defined space under the skin which, by increasing its volume, will stretch the sensitive nerves of the penis and thus decrease the hypersensitivity characteristic of premature ejaculation. The hypersensitivity is diminished but the sensitivity remains normal. Thus, even outside of premature ejaculation syndrome, all men who have undergone medical penoplasty will be able to better control the moment of ejaculation without any decrease in sensation.

It has also been demonstrated that the injection of the glans not only allows for a thickening of the glans but also allows, in the same way as on the penis, a decrease in this hypersensitivity.

The fourth reason is due to the fact that after a properly performed medical penoplasty, the erection is longer and harder, which allows not only to be more confident but also to have a more easily lasting sexual intercourse.

Course of a penoplasty by injection
of hyaluronic acid for premature ejaculation 

The treatment of premature ejaculation by injection of hyaluronic acid is the same process as for penis and glans lengthening and enlargement (Cf penoplasty by injection of hyaluronic acid).
During the consultation it will be decided to either lengthen and increase the size of the penis or thicken the glans or both.
Usually the doctor will first give injections of hyaluronic acid to the penis and only after one to three months will it be considered to give injections to the glans depending on the results obtained.
The painless session lasts approximately 30 minutes. 

After a penoplasty treatment with
hyaluronic acid injection for premature ejaculation 

In the case of injection only on the body of the penis, a sexual abstinence of 7 days is recommended. A painless swelling will often be noted for about two weeks but often well experienced by patients because the penis appears even more important.
In the case of injection only on the glans, a sexual abstinence of 4 days is sufficient.
The result of premature ejaculation varies from patient to patient, but often the control of ejaculation is already easier from the first intercourse.
It is important to follow up regularly at least during the first year with the doctor, approximately every three months, in order to optimize the results of the treatment.

Result of the treatment of premature ejaculation by penoplasty with hyaluronic acid injection

Even in a context as complex as premature ejaculation, which refers to many psychological or other factors that are different for each person, the results are most often observed from the first intercourse with a clear improvement in ejaculation control.
Thus, penis and/or glans penoplasty help as a trigger factor to optimize other means of treatment of premature ejaculation and generally in the medium term to cure it.
Because it should not be forgotten that premature ejaculation is not a disease and is cured. 

Doctor Richard Diacakis, your premature ejaculation treatment professional in Paris

If you would like more information on the treatment of premature ejaculation, do not hesitate to contact Doctor Richard Diacakis, plastic surgeon in Paris, using the contact form.
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