Advertisement

Penile Sensory Loss

  • John P. Mulhall
  • Peter J. Stahl
  • Doron S. Stember
Chapter

Abstract

(A) While written about infrequently, it is not uncommon for an andrologist to have a patient complaining of loss of penile sensation. This perplexing symptom may be organically based (penile sensory neuropathy) or psychogenic ­(perceptual). Any cause of neuropathy can cause penile sensation loss, but most common is diabetes mellitus. Of note, it is not uncommon for patients after radical prostatectomy to believe that the nerve injury associated with that ­operation leads to penile sensation loss. Of course, the nerves injured at the time of this procedure are autonomic in nature and thus are not implicated in penile sensory loss. Reduced penile sensation may be a secondary psychological sexual dysfunction. In men, particularly young men with sexual problems, the typically encountered penocentricity (that is, obsessive focus on the penis) associated with the latter can lead to the complaint of penile sensation loss.

Keywords

Radical Prostatectomy Sexual Dysfunction Sexual Problem Sensation Loss Tuning Fork 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. Azhary H, Farooq MU, Bhanushali M, Majid A, Kassab MY. Peripheral neuropathy: differential diagnosis and management. Am Fam Physician. 2010;81(7):887–92.PubMedGoogle Scholar
  2. Legatt AD, Benbadis SR. General principles of somatosensory evoked potentials. Medline. http://emedicine.medscape.com/article/1139906-overview#a30. Accessed July 2012.
  3. Poncelet A. An algorithm for the evaluation of peripheral neuropathy. Am Fam Physician. 1998;57(4):755–64.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • John P. Mulhall
    • 1
  • Peter J. Stahl
    • 2
  • Doron S. Stember
    • 3
  1. 1.Sexual and Reprodictive Medicine Program Department of Surgery Division of Urology, Department of SurgeryMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  2. 2.Department of UrologyColumbia University College of Physicians & SurgeonsNew YorkUSA
  3. 3.Department of UrologyBeth Israel Medical Center Albert Einstein College of Medicine of Yeshiva UniversityNew YorkUSA

Personalised recommendations