TPTNS for Treating Patients With Premature Ejaculation

Inclusion Criteria: * Over 18 years of age and less than 50 years of age with no cardiovascular risk factor other than age. * Having been diagnosed with primary premature ejaculation according to the American Psychiatric Society's Diagnostic and Statistical Manual. * Agreeing to participate and providing signed informed consent. * Stable relationship for over 6 months, with frequent intercourse at least once per week. Exclusion Criteria: * Diagnosis of erectile dysfunction according to the International Index Function Erectile (IIFE-5) (score under 21). * A premature ejaculatory diagnosis tool (PEDT) score under 8. * Use of treatment for premature ejaculation during the study or over the 6 months prior to beginning the study. * Use of pacemaker or heart defibrillator. * Epilepsy or convulsions * Venous insufficiency (varices) or cutaneous wounds or injuries on the lower extremities. * Congenital or acquired anatomical abnormalities of the penis. * Taking medications that affect ejaculation control, including psychiatric medications, opioid analgesics, and medications for pathologies of the prostate such as alpha-blockers. * Psychological or psychiatric disorders that prevent the patient from undergoing the treatment or recording the measurements as established. * Difficulty going to the clinic 3 times per week as required by the protocol. * Patients with pre-coital premature ejaculation. * Use of barrier contraceptive methods or local anesthetics.