Complete numbness in head of penis after surgery

[targetu]

About 1.5 years I had surgery to correct penile curvature (congenital - not peyronies).  The surgery was only moderately effective (the curve returned, and the internal sutures remained quite painful during sex).  2.5 months ago I had a second surgery to have the sutures removed (in this case the original problem wasn't as bad as the fix).  Since that surgery, the right half of the tip of my penis is completely numb - I mean 100% numb - you could cut it off and I wouldn't feel it.  The numbness is almost exactly down the middle line of the penis (if you were to view from above and split the tip into two hemispheres, it would be numb on the right half).  My question regards nerve healing and regeneration.  I know very little about this topic - my urologist believes the feeling will come back, but I'm skeptical since it's been two and one half months and absolutely no improvement at all.  The lack of feeling has made achieving orgasm during sex impossible for me.  So:

#1 Will nerves typically heal in a scenario such as this?

#2 Is there a more definitive test that could be done so I'd least know my prognosis.

#3 If the nerve won't heal naturally, are there any options available to me other than living with numbness and a sexless life?

Thank you.

[Kevin Pho, MD]

1) Typically, nerves do heal but at a slow rate.  Studies show nerves regenerate approximately an inch per month - I would wait several more months before making any treatment decision.

2) You may want to inquire about a neurology referral for possible electrodiagnostic testing which can evaluate for any nerve disorders.

3) Unfortunately, there is no major study that shows effectiveness of medications to treat a loss of sensation.  Herbal remedies have had anecdotal success.  You may want to inquire about further treatment with a neurologist.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

[felixb]

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