Persistent Numbness in the Glans: Causes and Solutions

Numbness of the glans penis?

Hello, doctor.
I apologize for the interruption.
I think I asked you the same question before.
It feels like there is something moving inside my glans, with a tingling sensation that comes and goes.
When I touch it, I can feel slight vibrations.
This symptom has been ongoing for about seven months.
Previously, I had genital warts and underwent a circumcision, which was done five months ago.
The genital warts are almost completely resolved now.
A few days ago, I had blood tests done at the hospital, and the results came back normal.
What could be wrong with me? Could it be another condition? Which specialist should I see? When I previously visited a doctor in Taipei and described these symptoms, they advised me not to overthink it.
What should I do?

Xiao Xiao E, 20~29 year old female. Ask Date: 2007/01/17

Dr. Xu Weikai reply Urology

Hello, I think that after the circumcision, the reconnection of blood vessels may cause a sensation of blood flow under the glans.
It should not be a major concern.
Additionally, during the circumcision procedure, there is typically some damage to small nerves and blood vessels, which can result in localized swelling, soreness, and numbness.
I recommend applying a warm compress locally to improve circulation.
This should be helpful.

Sincerely,
Dr.
Hsu Wei-Kai
Department of Urology, Taitung Hospital, Ministry of Health and Welfare

Reply Date: 2007/01/17

More Info

Persistent numbness or unusual sensations in the glans (the head of the penis) can be concerning and may arise from various causes. Given your description of a tingling or vibrating sensation that has persisted for about seven months, it is essential to consider several potential factors that could contribute to this condition.

1. Nerve Damage or Irritation: The sensation you are experiencing could be related to nerve damage or irritation. This can occur due to various reasons, including previous surgeries (like circumcision), infections, or even trauma. If the nerves in the area have been affected, it may lead to abnormal sensations such as tingling or numbness.

2. Post-Surgical Changes: After a circumcision, it is not uncommon for individuals to experience changes in sensation. The glans may become more sensitive or, conversely, numb due to the alteration of nerve pathways during the procedure. This could explain the unusual sensations you are experiencing.

3. Infection or Inflammation: Although you mentioned that you had a history of genital warts (condyloma) and have undergone treatment, it is crucial to ensure that there is no residual infection or inflammation. Sometimes, even after treatment, the area can remain sensitive or develop scar tissue, which may contribute to abnormal sensations.

4. Psychological Factors: Anxiety or stress can also manifest as physical symptoms, including unusual sensations in the genital area. If you are preoccupied with the sensations, it may exacerbate your perception of them.

5. Vascular Issues: Blood flow problems can also lead to numbness or tingling sensations. Conditions that affect circulation may cause these symptoms, although they are less common in this specific area.

6. Neurological Conditions: While less likely, certain neurological conditions could lead to persistent numbness or tingling in various parts of the body, including the genital area. Conditions such as multiple sclerosis or peripheral neuropathy could be considered, especially if there are other symptoms present.

Given that your blood tests returned normal results, it is a positive sign that there are no immediate systemic issues. However, since the symptoms have persisted for several months, it is advisable to seek further evaluation.

Recommendations:
1. Consult a Urologist: Since your symptoms are localized to the genital area, a urologist would be the most appropriate specialist to consult. They can perform a thorough examination, review your medical history, and possibly conduct further tests to determine the underlying cause of your symptoms.

2. Consider a Neurologist: If the urologist does not find a clear cause, it may be beneficial to consult a neurologist. They can evaluate for any potential nerve issues or other neurological conditions that could be contributing to your symptoms.

3. Follow-Up on Psychological Factors: If you feel that anxiety or stress may be playing a role in your symptoms, consider speaking with a mental health professional. They can help you manage any psychological factors that may be exacerbating your physical sensations.

4. Keep a Symptom Diary: Documenting when the sensations occur, their intensity, and any associated activities or stressors can provide valuable information to your healthcare providers.

In conclusion, while your symptoms may not indicate a severe underlying condition, persistent numbness or unusual sensations warrant further investigation. Consulting with the appropriate specialists will help clarify the cause and guide you toward effective management strategies. Remember, it is essential to address both the physical and psychological aspects of your health for comprehensive care.

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