According to statistics, every third man faces the problem of premature ejaculation. For some, this phenomenon is congenital. However, in most cases due to psychological or physiological causes, various diseases. Prolong sexual intercourse allows the operation to denervate the head of the penis.
The essence of the technique
Denervation is a microsurgical operation to reduce the sensitivity of the head of the penis. Its main goal is to solve the problem of early ejaculation.
The essence of the procedure is to mechanically cut off half of the nerve trunks located in the direction of the head of the penis. The largest of them are sewn together with a special thread. This is necessary to prevent the growth of nervous tissue. Otherwise, the appearance of uncomfortable sensations during intercourse is not excluded. An important stage of the operation is the circumcision of the foreskin.
Indications for conduction
The main indication fordenervation of the glans penis is its hypersensitivity. This condition is defined as early and uncontrolled ejaculation on the part of the man. The diagnosis must be confirmed clinically.
To clarify it, the so-called lidocaine test is carried out. It consists of several stages:
- Approximately 15-20 minutes before sexual intercourse, a 10% solution of lidocaine is applied to the head of the penis.
- 10 minutes after the drug is washed off. During intercourse, a condom must be used to prevent lidocaine from entering the partner's vagina.
If the duration of intimacy is extended by 2 times, the test confirms the need for glans denervation surgery.
Possible contraindications
When the lidocaine test described above does not significantly prolong sexual intercourse, surgery is not necessary. The problem of early ejaculation is caused by other causes, and not by hypersensitivity of the head. Among other contraindications to the procedure, doctors distinguish the following:
- acute infectious diseases;
- condition after a stroke or heart attack;
- pathologies of the heart, kidneys or lungs;
- allergic to anesthesia drugs;
- diseases of the hematopoietic system.
In any case, before the operation, you should consult a doctor. Usually a complete examination of the patient's body is carried out at the stage of preparation.
Varieties of intervention
There are several options for the operation. Depending on the number of excised nerve trunks, denervation can be:
- Full or non-selective. Dissection of all trunks is performed without their subsequent stitching.
- Partial or selective. Head denervation involves selective cutting of the nerve trunks without stitching.
- In the form of renervation. In this case, the nerves are sutured at the final stage.
Depending on the method of conducting, the intervention is open and closed. In the first case, general anesthesia is used. During the operation, the nerves are cut using a special laser. They are then sutured with self-absorbable sutures. As a result, scars and scars do not remain on the surface of the skin. The closed option involves the use of diathermocautery, laser, acupuncture treatment. In this case, the recovery period takes longer, and scars often remain on the surface of the skin.
Preparatory stage
Before denervation of the head of the penis, the patient must undergo a complete examination of the body. Usually it consists of the following activities: ECG, blood tests, ultrasound of the genitourinary system. A consultation is held with the anesthesiologist, at which the issue of possible restrictions on the introduction of anesthesia is decided.
About a week before the date of the intervention, it is important to limit the use of drugs aimed at blood thinning.
Startthey can only be reused after the skin has completely healed. You should also shave the genital area in advance. Food must be avoided 6-8 hours before anesthesia.
Performing an operation
Duration of open denervation of the head of the penis is up to half an hour. First, general anesthesia is performed with injectable drugs. Then the doctor cuts the skin along the coronal groove and slightly pushes it towards the base of the organ. At the next stage, the surgeon exposes 4-5 large nerve trunks and dissects them in front of the penis. The nerves are then sutured with absorbable sutures and sutures are placed.
In some cases, the nerve trunks are not sutured, but in addition, a circular circumcision of the foreskin is performed. Such a decision is possible only according to indications and is discussed at the preparation stage. A few hours after the intervention, the patient can go home, having received accompanying recommendations from the doctor on the recovery period.
Closed denervation of the head is carried out according to the following principle:
- Anesthesia is injected into the genital area.
- Through palpation, the doctor determines the most sensitive nerves.
- Nerves are cauterized using a laser, electric current, or radioknife.
With a closed form of intervention, scars may remain on the skin. Over the next 2-3 weeks, it is mandatory to follow the progress of the recovery with a doctor.
Rehabilitation period
When the option is opendenervation of the glans penis, the patient can go home 3-4 hours after the operation. Over the next 3-4 weeks, he is advised to refrain from intimacy, intense physical exertion. In the case of a closed form of intervention, a daily visit to the doctor is required for about two weeks. Stitches are usually removed around day 10-14.
After denervation, the possibility of swelling and bruising is not excluded. You can avoid the appearance of the latter if you use a special elastic bandage for the penis. Do not be afraid that the head of the penis has lost its sensitivity. This function begins to gradually recover after 3 months from the moment of denervation. This process is usually completed in 8 months.
Possible Complications
Head denervation is a microsurgical procedure that can lead to complications. Small hemorrhages and hematomas are a variant of the norm and do not require specific treatment. When should you sound the alarm?
- Inflammation of the skin as a result of infection in the wounds.
- Complete numbness of the penis.
- Erectile dysfunction due to hormonal and vascular ailments.
In case of such complications, you should immediately seek medical advice. However, it is worth noting that doctors reduce the risk of their occurrence to zero with proper denervation and following the recommendations of a specialist at the recovery stage.
Reviews after the operation
Head denervation is a fairly common procedure. Opinions of patients about it are found in most cases with a positive color. Judging by the reviews, already 6 months after the intervention, the duration of intimacy increases, and ejaculation at the same time normalizes. At the same time, there is no reason to be afraid for erectile dysfunction, since the nerves responsible for it are not affected during the operation.
Also, patients indicate that it is better to give preference to the open variant of denervation. In this case, the duration of the rehabilitation period is much shorter when compared with a closed operation. After the intervention, scars and scars do not remain on the skin. A positive result is achieved in 99% of cases. The advantage of the closed version of denervation is only the absence of the need for general anesthesia. In this case, there is a rather high risk of relapse. According to statistics, a violation after a while again makes itself felt in 15-20% of cases.
As for the negative reviews, they are related to the high cost of denervation. This procedure is not performed under the MHI policy, but is carried out mainly in private clinics. Its average cost varies within 40 thousand rubles. This amount does not include tests that the patient takes at the preparation stage, and stay in the hospital after. The latter service is used, as a rule, by out-of-town patients. However, it includes circumcision of the extremeflesh. You will also have to pay separately for subsequent consultations with a doctor. Treatment in case of complications is paid separately.
