Triple Nerve Block (TNB) for PE in Busan, Korea — Urogyn Flagship | From $1,296 | Urogyn
Severe PE Surgery

Triple Nerve Block (TNB) in Busan, Seomyeon

The definitive surgical treatment for severe primary PE in Seomyeon, Busan. Urogyn flagship procedure: microsurgical selective nerve cutting. Transparent USD/KRW pricing from $1,296. Personally performed by Dr. Moon Hyeon-chang — 500+ TNB procedures(highest volume in Korea) over 15 years at our Busan Seomyeon clinic.

From
$1,296
Procedure
45–60 min
Stay in Busan
3 days
Effectiveness
75–85%
WhatsApp Dr. Moon →
Dr. Moon Hyeon-chang — Board-certified urologist at Urogyn Busan Seomyeon clinic, TNB surgery specialist with 500+ procedures
Dr. Moon Hyeon-chang Board-Certified Urologist · TNB Specialist · 500+ Surgeries · Highest Volume in Korea
The 30-second summary
Read time: 8 min
Procedure type
TNB
Microsurgical, permanent
Price range
$1,296–$2,963
vs $3,000+ in US/UK
IELT improvement
4–7×
From under 1 min to 4-7 min
Best for
Primary PE
Lifelong, IELT under 1 min
Meet Dr. Moon

A message from Dr. Moon on TNB surgery in Seomyeon, Busan.

Before flying to Busan for TNB surgery, learn from Dr. Moon Hyeon-chang about the microsurgical technique at our Seomyeon clinic. 15+ years of experience, 500+ TNB procedures performed (highest volume in Korea), all explained in clear English.

Dr. Moon personally performs every TNB at our Busan Seomyeon practice. TNB is microsurgery — not all PE patients are candidates. Proper patient selection (severe primary PE only) is critical to outcomes. Wrong indication = poor result.

AUA Member EAU Member WAS Member 15+ Years in Busan
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Clinical Consultation Image
[ Insert photo of Dr. Moon during patient consultation or in clinic operating room ]
TNB vs alternatives

TNB vs other PE treatments at our Busan clinic, compared honestly.

No filter. TNB is the most effective PE treatment for severe primary cases — but it's not for everyone. Honest comparison with medication, glans filler, and other PE treatments before your consultation with Dr. Moon.

SSRI (Dapoxetine) Glans Filler TNB Standalone TNB + Glans Filler
Price (USD) $148–$370/mo $593–$1,481 $1,296 $2,963
Price (KRW) ₩200K–500K/mo ₩800K–2M ₩1.75M ₩4M
Mechanism Serotonin modulation Mechanical glans cushion Permanent nerve cut Nerve cut + mechanical
Duration Per dose (1-3 hrs) 1–2 years Permanent Permanent + 1-2 yr filler
Effectiveness 60% 40–50% 75–85% 85–90%
IELT improvement 2–3× 2–3× 4–7× 5–8×
Best for PE type Acquired/situational Mild–moderate Severe primary Severe primary, max effect
Side effects Nausea, dizziness (15%) Temporary numbness Numbness 4-6 wk Numbness 4-6 wk
Anesthesia None Local Local Local + sedation
Recovery None 2 days 4 weeks (sex) 4–6 weeks (sex)
Reversibility ✓ Stop med ✓ Hyaluronidase × Permanent ~ Filler reversible
Stay in Korea 1 day 1–2 days ✓ 3 days 3 days
Best for travelers Refill remote Affordable + reversible ✓ Definitive solution Maximum effectiveness
SSRI (Dapoxetine)
$148–$370/mo
Mechanism
Serotonin modulation
Duration
Per dose
Effectiveness
60%
Best for
Acquired/situational
Side effects
Nausea, dizziness 15%
Reversible
✓ Stop med
Glans Filler
$593–$1,481
Mechanism
Mechanical cushion
Duration
1–2 years
Effectiveness
40–50%
Best for
Mild–moderate PE
Recovery
2 days
Reversible
✓ Hyaluronidase
TNB Standalone Urogyn flagship
$1,296
Mechanism
Permanent nerve cut
Effectiveness
75–85%
IELT improvement
4–7×
Best for
Severe primary PE
Recovery (sex)
4 weeks
Reversible
× Permanent
TNB + Glans Filler
$2,963
Mechanism
Nerve cut + mechanical
Effectiveness
85–90%
IELT improvement
5–8×
Best for
Max effect
Recovery (sex)
4–6 weeks
Reversible
~Filler only
Method deep-dives

TNB options at Urogyn Seomyeon, in detail.

Standalone TNB or combined with glans filler — different cost/effect tradeoffs. Written by Dr. Moon for international patients deciding the best surgical PE approach.

TNB Standalone

Microsurgical · permanent · most chosen
$1,296
₩1.75M
Anesthesia
Local
Procedure
45–60 min
Effectiveness
75–85%
Duration
Permanent
Pros
  • Permanent solution (no daily pills)
  • 4-7× IELT improvement
  • Local anesthesia only
  • Same-day discharge
Cons
  • Not reversible
  • 4 weeks no sexual activity
  • Temporary numbness 4-6 weeks
  • 15-25% incomplete response
Best for Severe primary PE (lifelong, IELT under 1 minute). Patients who have tried SSRI medication without success or with side effects. ~70% of TNB candidates at Urogyn choose this standalone option. Dr. Moon's 500+ procedure experience produces consistent 4-7× IELT improvement.

TNB + Glans Filler

Combined mechanism · maximum effectiveness
$2,963
₩4M
Anesthesia
Local + sedation
Procedure
75–90 min
Effectiveness
85–90%
Duration
Permanent + 1-2 yr filler
Pros
  • Highest effectiveness (85-90%)
  • 5-8× IELT improvement
  • Dual mechanism (nerve + mechanical)
  • Filler can be repeated if needed
Cons
  • Higher cost ($2,963 vs $1,296)
  • Slightly longer recovery
  • Filler component needs refresh in 1-2 years
  • More complex procedure
Best for Most severe primary PE cases or patients seeking maximum effectiveness. Dual mechanism — nerve cutting reduces hypersensitivity permanently while glans filler adds mechanical cushion. ~30% of TNB candidates choose this comprehensive option. Best ROI for severe cases.
Decision guide

Is TNB the right surgery for your PE?

Three quick questions. Anonymous. We'll determine if TNB is appropriate for your PE type — not all PE responds to surgical treatment. Final recommendation requires Dr. Moon's clinical assessment.

Personalized recommendation

Are you a TNB candidate?

Get a personalized assessment based on your PE history, IELT, and treatment goals.

✓ 3 quick questions ✓ 60 seconds ✓ No email required
Q1.
Expected outcomes

What outcomes to expect after TNB in Busan.

Realistic IELT improvement expectations after TNB. Individual results vary based on baseline IELT and PE type. We do not guarantee specific outcomes.

Week 4 — First IELT test
Initial IELT: 2–4 minutes
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Before/After Diagram
[ Replace with anatomical illustration ]

At 4 weeks post-TNB, patients resume sexual activity. Initial IELT typically 2-4 minutes (vs pre-op under 1 minute). Some temporary numbness still present — adds to delayed ejaculation. Most patients note significant improvement immediately.

Month 3 — Stable IELT
Final IELT: 4–7 minutes typical
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Before/After Diagram
[ Replace with anatomical illustration ]

At 3 months, IELT stabilizes at final long-term level. 75-85% of patients achieve IELT 4-7 minutes (vs pre-op under 1 minute). Numbness fully resolved. Effect is permanent — no maintenance needed. End of standard follow-up.

Important: Individual TNB results vary based on baseline IELT, PE type (primary vs acquired), nerve anatomy, and individual neurology. Severe primary PE responds best (75-85% success). Acquired/situational PE responds poorly (under 30% — not recommended). Final IELT typically 4-7 minutes; combination with glans filler raises this to 5-8 minutes.
What to expect

The TNB procedure at our Seomyeon clinic, step by step.

The exact 45-60 minute microsurgical procedure at our Seomyeon, Busan clinic — from initial assessment to walking out.

1
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Step 1 Photo

PE candidacy assessment

~30 min · same day

Detailed PE history. IELT diary review (recommended 4 weeks pre-visit). Differentiation of primary vs acquired PE. Prior treatment review. Physical examination of penile anatomy. Confirmation TNB is appropriate (not all PE responds).

2
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Step 2 Photo

Pre-op preparation

~15 min

Detailed informed consent (permanent procedure). Markings on penile dorsum. Sterilization of operating area. Local anesthetic injection (dorsal penile block) — feels like small pinches for 10-15 seconds.

3
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Step 3 Photo

TNB microsurgery

45–60 min

Small incision (8-10mm) at penile base. Identification of dorsal nerve branches under microscope. Selective cutting of 3 specific branches responsible for hypersensitivity. Touch and erection nerves preserved. Dr. Moon personally performs every step.

4
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Step 4 Photo

Closure & discharge

~30 min observation

Wound closure with dissolvable sutures. Sterile dressing applied. English aftercare instructions. Antibiotics and pain medication prescribed. Direct WhatsApp to Dr. Moon activated. Same-day discharge to hotel.

Recovery roadmap

From procedure day to 3-month IELT in Busan.

Realistic recovery timeline for TNB surgery. Most international patients fly home Day 3, sexual activity resumes at 4 weeks, and IELT improvement is measurable at 3 months.

D1

Day 0 — Surgery day

First 24 hours

Procedure complete. Mild ache controlled with ibuprofen. Numbness from local anesthesia lasts 6-8 hours. Loose underwear or athletic supporter recommended. Walk out of clinic same day. Rest at hotel.

✓ Walk out same day ⚠ Numb 6-8 hrs ⚠ No work
D3

Day 1–2 — Rest

First 48 hours

Mild discomfort and swelling normal. Continue ibuprofen. Light walking around hotel. Fly home Day 2-3 (most patients). Continue antibiotics on schedule. Avoid hot showers (lukewarm only).

✓ Light walking ✓ Cleared to fly Day 2 ⚠ Numbness ongoing
D7

Day 7 — Photo check-in

1 week post-op

WhatsApp Dr. Moon a photo of incision site for healing confirmation. Sutures dissolving. Most patients return to office work. Glans numbness persists (expected). Avoid sexual activity (4-week minimum).

✓ Desk work ⚠ No sex (4 wk) ⚠ Glans numb
W2

Week 2–3 — Continued healing

2–3 weeks

Incision healing well. Light exercise resumes (walking, cycling OK). Avoid chest exercises affecting groin pressure. Glans numbness gradually improving but still present. Continue avoiding sexual activity.

✓ Light exercise ⚠ No sex yet ⚠ Numbness continues
M1

Week 4 — Cleared for sex

1 month

Sexual activity resumes. WhatsApp Dr. Moon for photo confirmation first. Initial IELT typically 2-4 minutes (vs pre-op under 1 min) — improvement visible immediately. Numbness mostly resolved.

✓ Cleared for sex ✓ Full exercise ✓ Initial IELT 2-4 min
M6

Month 3 — Final IELT

3 months

Final IELT stabilizes. 75-85% of patients achieve 4-7 minute IELT (5-8 with glans filler combination). Numbness fully resolved. Effect is permanent — no maintenance needed. WhatsApp Dr. Moon satisfaction survey. End of standard follow-up.

✓ Final IELT 4-7 min ✓ Permanent result ✓ Follow-up complete
Safety, honestly

Honest TNB safety profile in Busan.

Most PE clinics oversell TNB results. We don't at Urogyn Busan Seomyeon. Honest complication rates and outcome statistics from 500+ TNB procedures.

The honest numbers

TNB has low complication rates in experienced hands but requires proper patient selection. Below is what 15 years of practice and 500+ TNB procedures have taught us about realistic rates and limitations at Urogyn Busan.

< 2%
Serious complications
75–85%
IELT improvement rate
85%+
Patient satisfaction
  • !
    Incomplete response (15-25%): Most common outcome variability. 15-25% of TNB patients see less than 4× IELT improvement. Reasons: nerve anatomy variation, partial PE component. Glans filler can be added at 3 months if response insufficient.
  • !
    Temporary numbness (universal, 4-6 weeks): Expected post-op due to surgical inflammation. Glans sensation gradually returns. Permanent numbness is rare (under 2%).
  • !
    Overcorrection / delayed ejaculation (3-5%): Rare but possible — IELT improves beyond desired (over 15-20 min). Most resolve with neural adaptation over 6-12 months. Re-stimulation techniques effective.
  • !
    Bleeding / hematoma (under 1%): Rare with microsurgical technique. Press with gauze for 10 minutes. WhatsApp Dr. Moon if persistent.
  • !
    Infection (under 0.5%): Antibiotic prophylaxis given. Watch for redness, fever, increasing pain. Antibiotic treatment if needed.
  • !
    Permanent erectile dysfunction (under 0.5%): Very rare with selective microsurgical technique. Dr. Moon's experience (500+ procedures) keeps this risk minimal. Distinct from temporary post-op weakness.
  • !
    Wrong indication = poor outcome: TNB only works for severe primary PE. Patients with acquired or situational PE should NOT have TNB — medication or filler appropriate instead. Proper patient selection is the most important safety factor.
  • ✓
    Coverage: All Urogyn procedures covered by Korean medical malpractice insurance (KMA-affiliated). Documentation provided pre-procedure on request.
Patient voices

Hear from men who came to Busan for TNB surgery.

Two international patients share their experience flying to Busan, Seomyeon for TNB surgery — pre-op IELT, procedure, and 6-month outcomes.

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Clinical Image — Triple Nerve Block
[ Insert clinical photo ]

"Lifelong PE, under 30 seconds since I was 18. Tried SSRIs for years — side effects. TNB in Busan changed everything — 5 minutes at 3 months. Should have done this a decade ago."

Jonas, 34
🇸🇪 Sweden · TNB Standalone · Busan, 2024
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Clinical Image — PE Recovery
[ Insert clinical photo ]

"Researched TNB worldwide — Korea has the highest expertise. Combined TNB + glans filler. From 45 seconds to 6 minutes. Marriage saved."

Pierre, 41
🇫🇷 France · TNB + Glans Filler · Busan, 2023
Questions men ask

What men ask before flying to Busan for TNB surgery.

TNB candidates: severe primary PE (lifelong), IELT consistently under 1 minute, tried SSRI/medication without success or with intolerable side effects, no desire for daily pills. NOT candidates: acquired PE (recent onset), situational PE (variable), psychogenic PE, PE secondary to ED. Dr. Moon's screening identifies appropriate candidates — wrong indication = poor outcome.

Selective Dorsal Neurectomy (SDN) cuts multiple dorsal nerve branches. TNB is a refined technique cutting only 3 specific branches responsible for hypersensitivity while preserving touch and erection sensation. TNB has lower complication rates and better preservation of normal sensation compared to traditional SDN.

TNB is permanent. Once the 3 nerve branches are cut, they don't regenerate functionally. Long-term studies show effect maintained 10+ years post-surgery. The only "decline" reported is in 5-8% of patients who develop psychological re-conditioning over time — addressable with counseling.

TNB selectively cuts nerves responsible for hypersensitivity to friction, NOT nerves controlling erection or orgasm. Erection function preserved. Orgasm intensity preserved. Touch sensation preserved (with temporary 4-6 week numbness during healing). What changes: reduced hypersensitivity to friction = delayed ejaculation. That's the intended effect.

15-25% of patients see less than 4× IELT improvement (vs typical 4-7×). Options: (1) Add glans filler at 3 months for combined effect (free or partial cost depending on initial response), (2) Add daily low-dose SSRI for synergy, (3) Counseling for psychological component. Complete non-response is rare (under 5%) — usually indicates wrong indication (acquired PE) rather than technique failure.

Dr. Moon has performed 500+ TNB procedures over 15 years — the highest documented volume in Korea. International patients fly to Busan specifically for TNB because: (1) microsurgical precision requires high case volume, (2) outcome consistency depends on experience, (3) proper patient selection (avoiding wrong indications) requires clinical judgment built over many cases.

Yes. Most common combination: TNB + Glans Filler ($2,963) for maximum effectiveness. Also possible: TNB + Circumcision (same visit), TNB + Penis Enlargement (filler/fat). Combining procedures saves travel costs and total recovery time. Total stay typically 5-7 days for combinations.

4 weeks post-TNB. Photo confirmation via WhatsApp to Dr. Moon recommended first. Initial sexual activity should be gentle — glans is still adjusting. Use water-based lubricant. Avoid prolonged or aggressive activity for first 2 weeks of resumption. Most patients note immediate IELT improvement at first post-op intercourse.

No. TNB is permanent. Cut nerves do not regenerate functionally. If you have any doubt, start with reversible options first: SSRI medication, glans filler (reversible with hyaluronidase). TNB should only be chosen when you've decided permanent PE solution is your goal.

Korean pricing reflects lower facility costs, no insurance markup, direct-pay model. TNB at Urogyn Busan ($1,296) costs 50-60% less than equivalent US/UK PE surgery ($2,500-$4,000). Korea is also one of the few countries with high-volume TNB surgeons — Dr. Moon's expertise developed through 500+ procedures gives world-class outcomes at Korean pricing.

Credit card, bank transfer, or crypto accepted. Card descriptor reads "Busan Health Clinic" — not the procedure name. Payment: 50% deposit / 50% on procedure day. Itemized English receipts available. All patient information protected by Korean medical privacy laws.

Yes, but only because of the IELT improvement — that's the goal. Physical appearance: small 8-10mm scar at penile base, fades to near-invisible at 3-6 months. After full recovery: no visible signs of having had surgery. Partner experience: dramatic improvement in intercourse duration.

Four reasons: (1) Dr. Moon's 500+ procedures = highest volume in Korea, (2) 50-60% lower cost than US/UK, (3) Outpatient procedure with 3-day stay — combine with Busan tourism, (4) WhatsApp follow-up means no second international visit needed. International patients from US, Europe, Australia regularly choose Busan specifically for TNB.

Often combined with

Related procedures at our Busan Seomyeon clinic.

P

PE Treatment Hub

Full PE treatment ladder — 5 options from topical spray ($22) to TNB ($1,296). Use this to compare TNB against all alternatives before deciding.

Read more
G

Glans Filler

Mechanical PE solution — alternative or supplement to TNB. Often combined with TNB for maximum effectiveness ($2,963 combined). From $593.

Read more
C

Adult Circumcision

Often combined with TNB during the same Busan visit. Reduces glans sensitivity through skin retraction. From $222.

Read more
Your next step

Message Dr. Moon in Seomyeon, Busan before booking your TNB surgery.

Free, no commitment. Share your PE history via WhatsApp — Dr. Moon will determine if you're a TNB candidate and quote your total cost for visiting our Seomyeon, Busan clinic — $1,296 standalone TNB or $2,963 combined with glans filler.

15+
Years
500+
TNB procedures
40+
Countries served
< 1%
Complication rate
WhatsApp Dr. Moon → Back to home