Glans penis denervation

The loyalty program applies to surgical interventions in the inpatient department, which makes treatment even more affordable.

Denervation of the glans penis — is an operation aimed at reducing its excessive sensitivity. It is used as one of the methods of surgical treatment of premature ejaculation. According to European Association of Urology, approximately 20–30% of men encounter this problem during their lifetime. For many, it becomes a cause of psychological discomfort, lack of self-confidence, and deterioration in the quality of intimate life.

In such cases, denervation can be an effective solution. This is a minimally traumatic operation that does not require prolonged hospitalization, and recovery after it usually proceeds easily. At «Oxford Medical», denervation of the glans in Kyiv is performed by experienced genital surgeons using modern surgical techniques, which makes it possible to perform the intervention as carefully as possible. Make an appointment for a urologist consultation to get answers to all your questions and find out whether this treatment method is suitable for you.

Denervation can be performed only in the absence of contraindications that may affect the safety of the operation or the process of tissue healing. Some of them are temporary, so after treatment or stabilization of the condition, the intervention can be performed.

The operation is not performed in cases of:

• acute inflammatory diseases of the genitourinary system;

• blood clotting disorders;

• decompensated diabetes mellitus;

• severe diseases of the cardiovascular, respiratory, or other systems in the stage of decompensation;

• malignant neoplasms, if the operation has not been coordinated with the main treatment plan.

Doctors at «Oxford Medical» recommend reporting chronic diseases, allergic reactions, and medications that are taken on a regular basis during the first consultation. This makes it possible to properly plan preparation for the operation and reduce the risk of possible complications.

Preparation includes a preoperative examination, which makes it possible to assess the patient's general health condition and safely perform the operation. Before the intervention, it is usually necessary to undergo tests, in particular:

• general and biochemical blood tests;

• coagulogram;

• general urine test;

• tests for HIV, viral hepatitis B and C, syphilis.

Depending on the patient's age, health condition, and the presence of concomitant diseases, the doctor may also recommend undergoing electrocardiography (ECG) or other examinations necessary for the safe performance of the operation.

Denervation of the penis is a minimally traumatic operation that is performed without hospitalization. On average, it lasts 30–60 minutes. After a short period of medical observation, the patient can immediately return home.

The intervention takes place in several stages:

• Anesthesia. The operation is usually performed under local anesthesia. For greater patient comfort, medication-induced sleep (intravenous sedation) may also be used.

• Denervation. Through a small incision near the coronal sulcus, the surgeon isolates the nerve branches that provide sensitivity of the glans penis, after which partially transects them.

• Completion of the operation. Self-absorbing sutures and a sterile dressing are applied to the incision.

If the patient is also troubled by a short frenulum of the foreskin or wishes to undergo circumcision of the foreskin, these interventions can be performed simultaneously with denervation. This makes it possible to avoid a repeat operation and go through the recovery period only once.

The main goal of denervation — is to reduce excessive sensitivity of the glans penis, due to which a man gains better control over ejaculation and can increase the duration of sexual intercourse. At the same time, the operation does not completely eliminate sensitivity. Over time, some of the nerve fibers recover, so tactile sensations gradually return, but without excessive sensitivity.

According to The Journal of Sexual Medicine, selective denervation of the glans penis helps increase the duration of sexual intercourse, improve control over ejaculation, and increase satisfaction with sexual life in most patients. At the same time, the effectiveness of the operation largely depends on correctly determining the cause of premature ejaculation and following the recommendations during the recovery period.

After denervation, during the first few days, moderate pain, slight swelling, discomfort in the area of the sutures, or slight bloody discharge may occur. This is a normal reaction of the body to surgical intervention, which gradually passes.

For normal tissue healing, it is recommended to:

• maintain genital hygiene;

• change the dressing within the timeframes determined by the doctor;

• avoid intense physical activity and lifting objects weighing more than 5 kg for 2–4 weeks;

• abstain from sexual activity and masturbation for 4–6 weeks or until the tissues have completely healed.

In most cases, recovery after denervation proceeds quite quickly. If the work is not associated with significant physical exertion, it is possible to return to it after just 1–3 days. Intense physical activity is recommended to be postponed until complete tissue healing and a follow-up examination by the doctor.

Serious complications after denervation of the glans penis occur rarely. Despite this, like any surgical intervention, denervation is associated with certain risks. Possible complications include:

• bleeding;

• infection of the postoperative wound;

• pronounced swelling or hematoma;

• excessive reduction in penile sensitivity;

• formation of a coarse scar (occurs rarely);

• insufficient or short-lasting effect of the operation.

Doctors at «Oxford Medical» note: if severe pain, heavy bleeding, a body temperature above 38 °C, purulent discharge from the wound, or significant swelling appears after the operation, it is necessary to consult a doctor as soon as possible.

Although it is impossible to completely eliminate the risk of complications, at «Oxford Medical» all conditions have been created to reduce it as much as possible. Operations are performed by experienced genital surgeons in modern operating rooms equipped with expert-class equipment. During the intervention, a team of anesthesiologists monitors the patient's condition, and after the operation, he remains under medical supervision until the moment when he can safely return home.

You can preliminarily find out what the price for denervation of the glans is from the contact center administrators by the phone number indicated on the website. The doctor will provide the final cost after the examination and determination of the surgical intervention tactics. The cost of the consultation can be viewed here.

You can make an appointment for a consultation through the online appointment form on the website or by calling the contact center. During the appointment, the doctor will answer all questions and explain the specifics of the upcoming operation.

The information is for informational purposes and does not replace a consultation with a doctor.

Sources:

• European Association of Urology

• International Society for Sexual Medicine

• US National Library of Medicine