Skip to main content

Premature
Ejaculation

EjaNova® – The Surgical Treatment of Premature Ejaculation

Premature ejaculation (ejaculatio praecox) affects every third to fourth man — and is one of the most common sexual dysfunctions of all. For men whose cause lies in an excessive sensitivity of the glans and for whom other treatments have not produced lasting success, the EjaNova® surgery offers a surgical solution with sustainable effect.

EjaNova® is a microsurgical method (EJANOVA(R) — Selective Dorsal Neurectomy) in which the fine nerve branches supplying the tip of the glans are selectively and precisely severed. Few clinics in Germany offer this procedure — in the USA and Asian countries it is already widespread. Dr. Spanholtz and his team at the Androklinik® perform the EjaNova® surgery at the private clinic.

Find out now whether EjaNova® can help you and fill out a short questionnaire!

EjaNova® — Schedule a Consultation

Discreet, factual, without pressure — via video or at the private clinic K61.
Book a consultation now

EjaNova® at a Glance

The most important key facts of the EjaNova® surgery
  • Method:
    Microsurgical EJANOVA(R) — Selective Dorsal Neurectomy
  • Objective:
    Selective reduction of the nerve sensitivity of the glans
  • Access:
    Via circumcision incision — circumcision possible simultaneously and recommended from our perspective
  • Anesthesia:
    Short anesthesia
  • Downtime:
    Usually 5 days — after that return to all activities
  • Result:
    Scientifically proven: EjaNova® can improve ejaculatio praecox
  • Pain:
    Low — mild painkillers are sufficient
  • Combination:
    Frequently simultaneous with glans enlargement (hyaluronic acid or autologous fat)
  • Costs:
    Approx. 4,800 EUR plus anesthesia costs (self-pay service)
  • Suitable for:
    Men with ejaculatio praecox due to glans hypersensitivity, when other therapies fail
What is EjaNova® — and how does the SRDN work?

EjaNova® is the brand name for the SRDN procedure (Selective Dorsal Neurectomy) at the Androklinik® of the Praxisklinik am Rosengarten®. In the EJANOVA(R) surgery, the fine nerve branches supplying the tip of the penis are exposed via a circumcision access. Selected of these nerve branches are selectively severed — not all of them, but specifically those responsible for the excessive sensitivity.

The result: The glans remains capable of sensation, but the hypersensitivity that leads to uncontrolled premature ejaculation is permanently reduced. Control over the timing of the orgasm improves — without a complete loss of glans sensation.

The Operating Principle in a Nutshell
  • Cause of PE:
    Excessive sensitivity of the glans → nerve stimulus too early → uncontrolled ejaculation
  • EjaNova® procedure:
    Selective severing of the overactive dorsal nerve branches of the glans
  • Result:
    Reduced, but preserved sensitivity · more control · longer sexual act
  • Irreversible:
    Yes — the severed nerves do not fully regenerate
Who is EjaNova® suitable for?
EjaNova® is particularly suitable for men whose cause of ejaculatio praecox lies in an excessive sensitivity of the glans — and for whom other treatment options have not shown sufficient or lasting success:
  • Pronounced ejaculatio praecox — ejaculation frequently within seconds to a few minutes
  • The cause is primarily the hypersensitivity of the glans (and not exclusively of a psychological nature)
  • Other therapies (medications, behavioral therapy, glans enlargement) have not been sufficient
  • Desire for a permanent, sustainable solution without daily medication
  • Willingness to be circumcised or already circumcised
Important limitation — Patient selection is decisive

Since this is a microsurgical operation on nerves that is irreversible, careful preliminary diagnostics and patient selection are decisive.

EjaNova® is NOT suitable if the ejaculatio praecox has exclusively psychological causes or if there is no pronounced glans hypersensitivity.

Dr. Spanholtz clarifies exactly during the diagnostics whether EjaNova® is the right option for you.

Find out now whether EjaNova® can help you and fill out a short questionnaire!
To the questionnaire

Is EjaNova® suitable for you?

Dr. Spanholtz performs the diagnostics and advises you honestly about your options.
Book a consultation now

What science says:
Study evidence on EjaNova®

Scientific data prove that the time until ejaculation (IELT — Intravaginal Ejaculatory Latency Time) can be considerably prolonged by the method. Studies show a possible tripling of the IELT compared to the baseline value.

Study reference: Zhang et al. 2012

Zhang GX et al. (2012): Selective dorsal neurectomy (SRDN) for the treatment of ejaculatio praecox.

International Journal of Andrology. DOI: 10.1111/j.1365-2605.2012.01296.x

Key result: IELT rose from an average of 1.1 minutes to 3.8 minutes (+245%, p < 0.01).

The erectile function remained unaffected in all patients.

Further details on the study evidence

EjaNova® or non-surgical treatment? The comparison

The Androklinik® of the Praxisklinik am Rosengarten® also offers non-surgical treatment options for premature ejaculation — EjaNova® is the surgical solution for men for whom these options have not worked sufficiently:

Criterion

EjaNova® (surgical)

Non-surgical options

Effect

Permanent — one-time surgery

Temporary or needed daily

Method

Microsurgical nerve reduction

Medications, glans enlargement, behavioral therapy

Downtime

Approx. 5 days

Minimal to none

Reversible

No — permanent

Yes (upon discontinuation/breakdown)

Suitable if

Other therapies failed · permanent solution

As a first step · no willingness for surgery

Risk profile

Surgical, microsurgical

Low · no surgical risks
More about non-surgical treatment options
Combination with glans enlargement — frequently in one session
In many cases, the EjaNova® surgery is combined in the same session with a glans enlargement — either via hyaluronic acid injection or via autologous fat/nanofat. This combination strengthens the effect in two ways:
  • EjaNova® structurally reduces the neuronal hypersensitivity of the glans
  • The glans enlargement adds additional volume — the increased tissue mechanically dampens stimuli and further reduces sensitivity
  • Both procedures can be performed in one anesthesia, in one healing phase, in one appointment
More about glans enlargement
Find out now whether EjaNova® can help you and fill out a short questionnaire!
To the questionnaire

Permanently more control — microsurgically precise

EjaNova® with Dr. Spanholtz — one of the few specialists for this procedure in Germany.
Book a consultation now

Frequently Asked Questions about EjaNova®

Will I completely lose the sensitivity of the glans after the surgery?
No — this is explicitly not the goal. The SRDN method is selective: Only selected overactive nerve branches are severed, not all. The basic sensitivity of the glans is preserved. Experiencing the orgasm remains possible — it just occurs later and more controllably.
Is EjaNova® permanent or does it have to be repeated?
EjaNova® is a permanent solution. The severed nerve branches do not fully regenerate. The result is sustainable — in contrast to medications or hyaluronic acid injections into the glans, which have to be repeated periodically. This permanence is one of the main advantages of the method — and requires careful consideration before the decision.
How long does the downtime last after the surgery?
Usually 5 days. That is remarkably short for a microsurgical procedure. Mild painkillers are sufficient during this time. After 5 days, all normal activities can usually be resumed.
Do I have to be circumcised for EjaNova®?
Access is via the circumcision incision. Men who are not yet circumcised can sensibly have the circumcision performed in the same session and anesthesia. Dr. Spanholtz clarifies this individually during the consultation.
What does EjaNova® cost?
The costs of the EjaNova® surgery are approx. 4,800 EUR plus anesthesia costs. If a glans enlargement or penis thickening is performed at the same time, additional costs arise that are calculated individually. EjaNova® is in most cases a self-pay service — an individual clarification with the private health insurance is recommended.
Related Pages

Permanently more control and quality of life

EjaNova® with Dr. Spanholtz — microsurgical, precise, sustainable.

About the Author

Dr. med. Timo A. Spanholtz
Specialist in Plastic and Aesthetic Surgery - Specialist for Men's Health and Intimate Surgery

Dr. med. Timo A. Spanholtz
Dr. Spanholtz is the founder and chief physician of the AndroKlinik. With many years of clinical experience in men's health, andrology, and reconstructive urology, he accompanies patients from the entire German-speaking region.
Learn more

Further Links

The following content is
surely exciting for you...