Surgical Solutions for Penile Sensitivity: What Are Your Options? - Urology

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When it comes to addressing penile sensitivity, particularly after circumcision, there are several surgical options and considerations to explore. Your experience of heightened sensitivity, which you describe as discomfort from friction rather than premature ejaculation, is not uncommon among men who have undergone circumcision. The lack of the protective foreskin can lead to increased sensitivity of the glans (the head of the penis), which can be bothersome.


Surgical Options for Penile Sensitivity
1. Dorsal Nerve Resection: This procedure involves the selective cutting of the dorsal nerve of the penis, which is responsible for sensation. The idea is to reduce sensitivity by diminishing the nerve's ability to transmit sensory signals. However, as you mentioned, some urologists may not recommend this procedure if they believe it won't significantly alleviate your symptoms. It's crucial to have a thorough discussion with your urologist about your specific concerns and symptoms to determine if this option is appropriate for you.

2. Penile Sensitivity Reduction Techniques: Some surgeons may suggest techniques that involve the removal of a portion of the glans or the application of certain procedures that can help desensitize the area. These methods may include skin grafting or other reconstructive techniques that can alter the sensitivity of the glans.

3. Vein Ligation or Removal: The procedure you mentioned, dorsal vein ligation or removal, is typically aimed at addressing issues related to venous drainage and can sometimes be associated with erectile dysfunction or other vascular concerns. While it may not directly address sensitivity, it could potentially help with overall penile function.

4. Topical Treatments: While not surgical, some men find relief through the use of topical anesthetics that can temporarily numb the area, reducing sensitivity during sexual activity. This can be a non-invasive option to consider before opting for surgery.

5. Psychological Counseling: Sometimes, sensitivity issues can be exacerbated by anxiety or psychological factors. Consulting with a mental health professional who specializes in sexual health may provide additional strategies to cope with sensitivity and improve your sexual experience.


Considerations and Risks
Before proceeding with any surgical option, it's essential to weigh the potential benefits against the risks. Surgical interventions can lead to complications such as infection, scarring, changes in sensation, or even erectile dysfunction. Therefore, it is vital to have a comprehensive discussion with a qualified urologist who can provide insights tailored to your specific situation.


Seeking a Second Opinion
If you feel that your concerns are not being adequately addressed, seeking a second opinion from another urologist or a specialist in sexual medicine may provide you with more options or different perspectives on your condition. It’s important to find a healthcare provider who listens to your concerns and understands the impact of sensitivity on your quality of life.


Conclusion
In summary, while there are surgical options available for addressing penile sensitivity, it is crucial to have a thorough evaluation and discussion with a urologist who specializes in this area. Each case is unique, and what works for one individual may not be suitable for another. Exploring all options, including non-surgical approaches, can help you make an informed decision that aligns with your needs and comfort level.