Can severe premature ejaculation be treated with surgery? Is it reliable?

Patient's question:

Here’s the translation of your text into English, with the line breaks kept as they are:
"Preparation work was good when having sex with my girlfriend! But when it really comes to the critical moment, I always finish in less than 5 seconds! Although she is very understanding, I always feel that continuing like this is tormenting her!"

Doctor's answer:

Treatment of Pathological Premature Ejaculation
We know that the cause of pathological premature ejaculation is due to excessive prostatic fluid secretion, which is the fundamental reason for the condition. Excessive prostatic fluid secretion is related to benign prostatic hyperplasia (BPH). Therefore, to treat premature ejaculation effectively, it is essential to restore the prostate to its normal state.
Since the causes of premature ejaculation due to masturbation and aging differ, the composition of medications used in the treatment process is also different. For premature ejaculation caused by masturbation, the focus is on promoting blood circulation to remove stagnation, astringent and tonifying essence, supplemented by warming and tonifying the kidney yang. For premature ejaculation in the elderly, the treatment focuses on tonifying the kidneys and strengthening yang, as well as consolidating yang and essence.