Post-Surgery: Loss of Sensation on One Side of the Glans Penis - Urology

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Postoperatively, there is a lack of sensation on one side of the glans?


Hello, doctor.
I underwent penile curvature correction surgery (downward curvature) three days ago.
Since the surgery, I have noticed that the right side of the glans has almost no sensation; I can't feel anything when pinched or pricked with a fingernail, while the left side of the glans has normal sensitivity.
Currently, there is significant swelling and a hematoma beneath the glans.
I am wondering if this numbness in the glans is a normal postoperative complication or if it is due to the anesthesia.
Will this sensation return?

Mr. Ni, 20~29 year old female. Ask Date: 2016/06/05

Dr. Li Xinyi reply Urology


It is still possible that the nerves are affected, which may take longer to heal.
The recovery period could even take one to two years.
Swelling and hematoma in the penis may sound normal, but it is still advisable to return for a follow-up appointment to have the surgeon confirm everything.
The surgeon will be able to determine if there are any other issues.

Reply Date: 2016/06/05

More Info


Post-surgery loss of sensation, particularly in the context of penile surgery such as correction of penile curvature, can be concerning for patients. It is important to understand the potential causes and implications of this symptom.

Firstly, it is not uncommon for patients to experience altered sensation following surgical procedures. This can be due to several factors, including nerve trauma during surgery, swelling, and the effects of anesthesia. In your case, the loss of sensation on the right side of the glans penis, while the left side remains sensitive, could be attributed to localized swelling or bruising affecting the nerves that supply sensation to that area. The presence of edema (swelling) and hematoma (blood accumulation) can also contribute to temporary changes in sensation.

During surgery, especially in procedures involving delicate structures such as the penis, there is a risk of nerve injury. Surgeons take great care to minimize this risk, but it can still occur. If a nerve is compressed or damaged during the procedure, it may lead to numbness or altered sensation in the affected area. However, it is also possible that the sensation may return as the swelling decreases and the tissues heal.

The use of local anesthesia during the procedure can also play a role in post-operative sensation. Anesthesia can temporarily block nerve signals, leading to a lack of sensation in the area. As the anesthesia wears off, normal sensation should gradually return. However, if the numbness persists beyond the expected recovery period, it may warrant further evaluation.

In general, it is advisable to monitor your symptoms closely. If the numbness does not improve over the next few days or if you experience additional symptoms such as severe pain, increased swelling, or signs of infection (such as redness, warmth, or discharge), you should contact your surgeon or healthcare provider for further assessment. They may perform a physical examination and possibly imaging studies to determine the cause of the numbness and assess the healing process.

Recovery from surgery can vary significantly from person to person. While many patients experience a return to normal sensation within a few weeks, others may take longer. Factors influencing recovery include the extent of the surgery, individual healing capacity, and any complications that may arise.

In conclusion, while post-surgical numbness can be a normal occurrence, especially in the context of swelling and healing, it is essential to remain vigilant. If you have concerns about the duration or severity of your symptoms, do not hesitate to reach out to your healthcare provider for guidance. They can provide reassurance, evaluate your condition, and suggest appropriate interventions if necessary. Remember, open communication with your surgical team is key to a successful recovery.

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