According to statistics, every third man is faced with the problem of premature ejaculation. In some, this phenomenon is congenital in nature. However, in most cases, due to psychological or physiological reasons, various diseases. To prolong sexual intercourse allows the operation on the denervation of the head of the penis.
The essence of the technique
Under denervation refers to microsurgery 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 reduced to the mechanical suppression of half of the nerve trunks located in the direction of the head of the penis. The largest of them are sewn with a special thread. This is necessary to prevent the proliferation of nerve tissue. Otherwise, the appearance of discomfort during sexual intercourse is not ruled out. An important step in the operation is circumcision of the foreskin.
Indications for
The main indication for denervation of the glans penis is its hypersensitivity. This condition is defined as an early and uncontrolled ejaculation on the part of a man. The diagnosis is necessarily confirmed clinically.
To clarify it, the so-called lidocaine test is carried out. It consists of several stages:
- About 15-20 minutes before intercourse, a 10% lidocaine solution is applied to the head of the penis.
- 10 minutes after the drug is washed off. During contact, 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 surgery to denervate the head.
Possible contraindications
When the lidocaine test described above does not give a significant extension of sexual intercourse, surgery is not necessary. The problem of early ejaculation is caused by other causes, not the 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;
- allergy to drugs for anesthesia;
- diseases of the hematopoietic system.
In any case, you must consult your doctor before surgery. Usually a complete examination of the patient’s body is carried out at the preparation stage.
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 without their subsequent stitching is performed.
- Partial or selective. Head denervation involves selective dissection of nerve trunks without stitching.
- In the form of a renewal. In this case, at the final stage, cross-linking of nerves is performed.
Depending on the method, the intervention is open and closed. In the first case, general anesthesia is used. During the operation, nerves are dissected using a special laser. Then they are sewn together with self-absorbable threads. As a result, scars and scars do not remain on the skin surface. The closed version implies the use of diathermotherapy, laser, acupuncture treatment. In this case, the recovery period requires more time, and scars often remain on the surface of the skin.
Preparatory stage
Before denervation of the head of the penis, the patient undergoes a full examination of the body. Usually it consists of the following measures: ECG, blood tests, ultrasound of the genitourinary system. A consultation is held with the anesthetist, at which the question of possible restrictions on the introduction of anesthesia is decided.
About a week before the date of intervention, it is important to limit the intake of blood thinners.
Re-use is permitted only after the skin has completely healed. Also, the genital area should be shaved in advance. Food should be discarded 6-8 hours before anesthesia.
Operation
The duration of the open denervation of the head of the penis is up to half an hour. First, general anesthesia is performed through 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 the front of the penis. After this, the nerves are sutured by self-absorbable threads, stitches are applied.
In some cases, the nerve trunks do not stitch, but additionally perform circular circumcision of the foreskin. 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, receiving accompanying recommendations from the doctor for the recovery period.
Closed denervation of the head is carried out according to the following principle:
- Anesthesia is injected into the genital area.
- By palpation, the doctor determines the most sensitive nerves.
- Using a laser, electric current or radio knife, nerves are burned.
With a closed form of intervention, scars may remain on the skin. Over the next 2-3 weeks, it is mandatory to monitor the progress of the recovery by a doctor.
Rehabilitation period
With the open version of the denervation 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. About 10-14 days, as a rule, the stitches are removed.
After denervation, the likelihood of puffiness and hematomas is not excluded. You can avoid the appearance of the latter if you use a special elastic bandage for the genitals. Do not be afraid that the head of the penis has lost its sensitivity. This function begins to recover gradually after 3 months from the moment of denervation. Finally, this process usually ends in 8 months.
Possible complications
Head denervation is a microsurgical procedure after which complications may occur. Minor hemorrhages and hematomas are a variant of the norm and do not require specific treatment. When is it worth to sound the alarm?
- Inflammation of the skin as a result of infection in the wounds.
- Complete insensitivity of the penis.
- Erectile dysfunction on the background of hormonal and vascular ailments.
With such complications, you should immediately consult a doctor. However, it is worth noting that doctors reduce the risk of their occurrence to zero when competently performing denervation and following the recommendations of a specialist at the recovery stage.
Reviews after surgery
Head denervation is a fairly common procedure. Patients' opinions about it are found in most cases with a positive color. Judging by the reviews, after 6 months after the intervention, the duration of intimacy increases, and ejaculation is normalized at the same time. At the same time, there is no reason to fear for an erection disorder, since the nerves responsible for it are not affected during the operation.
Also, patients indicate that it is better to give preference to an open version 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 a closed variant of denervation is considered only the lack of need for general anesthesia. However, 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 associated with the high cost of denervation. This procedure is not performed according to the compulsory medical insurance policy, but is carried out mainly in private clinics. Its average cost varies within 40 thousand rubles. This amount does not include analyzes that the patient passes at the preparation stage, and stay in the hospital after. As a rule, nonresident patients use the last service. However, it does include circular circumcision of the foreskin. You also have to pay separately for subsequent consultations with a doctor. Treatment in case of complications is paid separately.