NEUROTOMY
What is neurotomy in urology and andrology?
Neurotomy in Andrology: A Surgical Solution for Chronic Pain and Hypersensitivity
Andrological neurotomy is a minimally invasive surgical procedure aimed at eliminating chronic pain or increased sensitivity in the area of the penis, scrotum, or perineum. The procedure is based on selective targeting of peripheral nerves that conduct pain impulses.
This surgery is used when traditional treatments (medications, physiotherapy, nerve blocks) are ineffective, and pain or hypersensitivity interferes with a man's normal sexual life and psychological comfort.
When Neurotomy is Indicated
The procedure is prescribed by a urologist or andrologist for:
- Chronic pain after circumcision or frenulum injury;
- Chronic pelvic pain syndrome;
- Increased sensitivity of the glans penis (a common cause of premature ejaculation);
- Post-traumatic or postoperative neuropathy;
- Pain after testicular prosthesis, scrotal, or genital surgery.
In each case, preliminary diagnostics are conducted—ultrasound, neurosonography, trial nerve blocks—to confirm the source of pain.
Purpose and Effect of the Surgery
The main goal of neurotomy is to eliminate the pathological transmission of pain or hypersensitive impulses without disrupting erectile function and sensitivity necessary for sexual life.
After the procedure, the patient notes:
- Disappearance of pain or burning sensation;
- Normalization of sensations during intercourse;
- Improved control over ejaculation;
- Increased confidence and quality of life.
How the Procedure is Conducted
Neurotomy is performed on an outpatient basis under local or short-term anesthesia.
The patient undergoes an examination, ultrasound, and consultation with a urologist.
The doctor accurately identifies the area of the pathological nerve (often the dorsal nerves of the penis).
Through a small incision or thin needle, radiofrequency or microscopic neurotomy is performed.
After the intervention, a sterile dressing is applied, and the patient can return home within 1–2 hours.
The duration of the procedure is about 20–40 minutes, and stitches usually do not require removal.
Types of Neurotomy in Andrology
- Radiofrequency neurotomy: uses thermal impulses for precise deactivation of pain nerve endings.
- Microsurgical neurotomy: selective dissection of peripheral nerve branches under optical magnification.
- Cryoneurotomy: local freezing of the nerve, temporarily blocking pain transmission.
The method is selected individually depending on the cause and location of the pain.
Rehabilitation
After neurotomy, the patient can return to normal activities the next day. It is recommended to:
- Maintain genital hygiene;
- Avoid physical exertion and intimate life for 7–10 days;
- Monitor the condition of the incision and follow the urologist's recommendations.
The effect of the procedure lasts from several months to several years, with the possibility of repeat correction if necessary.
Advantages of Neurotomy at "Genesis Dnipro" Clinic
- Experienced urologists and andrologist-surgeons;
- Modern microsurgical and radiofrequency equipment;
- Accurate determination of the pain source;
- Delicacy, confidentiality, and respect for the patient;
- Minimal trauma and quick recovery.
Why It Matters
Chronic pain or hypersensitivity in the intimate area affects not only the physical condition but also the psychological and sexual health of a man. Neurotomy offers the opportunity to return to a normal, pain-free, and fulfilling life without constant medication and restrictions.
Care and Professionalism
At "Genesis Dnipro" clinic, neurotomy in andrology is performed with maximum precision, safety, and respect for the patient. We help men eliminate pain, restore comfort, confidence, and harmony in their intimate lives.
Andrological neurotomy is a minimally invasive surgical procedure aimed at eliminating chronic pain or increased sensitivity in the area of the penis, scrotum, or perineum. The procedure is based on selective targeting of peripheral nerves that conduct pain impulses.
This surgery is used when traditional treatments (medications, physiotherapy, nerve blocks) are ineffective, and pain or hypersensitivity interferes with a man's normal sexual life and psychological comfort.
When Neurotomy is Indicated
The procedure is prescribed by a urologist or andrologist for:
- Chronic pain after circumcision or frenulum injury;
- Chronic pelvic pain syndrome;
- Increased sensitivity of the glans penis (a common cause of premature ejaculation);
- Post-traumatic or postoperative neuropathy;
- Pain after testicular prosthesis, scrotal, or genital surgery.
In each case, preliminary diagnostics are conducted—ultrasound, neurosonography, trial nerve blocks—to confirm the source of pain.
Purpose and Effect of the Surgery
The main goal of neurotomy is to eliminate the pathological transmission of pain or hypersensitive impulses without disrupting erectile function and sensitivity necessary for sexual life.
After the procedure, the patient notes:
- Disappearance of pain or burning sensation;
- Normalization of sensations during intercourse;
- Improved control over ejaculation;
- Increased confidence and quality of life.
How the Procedure is Conducted
Neurotomy is performed on an outpatient basis under local or short-term anesthesia.
The patient undergoes an examination, ultrasound, and consultation with a urologist.
The doctor accurately identifies the area of the pathological nerve (often the dorsal nerves of the penis).
Through a small incision or thin needle, radiofrequency or microscopic neurotomy is performed.
After the intervention, a sterile dressing is applied, and the patient can return home within 1–2 hours.
The duration of the procedure is about 20–40 minutes, and stitches usually do not require removal.
Types of Neurotomy in Andrology
- Radiofrequency neurotomy: uses thermal impulses for precise deactivation of pain nerve endings.
- Microsurgical neurotomy: selective dissection of peripheral nerve branches under optical magnification.
- Cryoneurotomy: local freezing of the nerve, temporarily blocking pain transmission.
The method is selected individually depending on the cause and location of the pain.
Rehabilitation
After neurotomy, the patient can return to normal activities the next day. It is recommended to:
- Maintain genital hygiene;
- Avoid physical exertion and intimate life for 7–10 days;
- Monitor the condition of the incision and follow the urologist's recommendations.
The effect of the procedure lasts from several months to several years, with the possibility of repeat correction if necessary.
Advantages of Neurotomy at "Genesis Dnipro" Clinic
- Experienced urologists and andrologist-surgeons;
- Modern microsurgical and radiofrequency equipment;
- Accurate determination of the pain source;
- Delicacy, confidentiality, and respect for the patient;
- Minimal trauma and quick recovery.
Why It Matters
Chronic pain or hypersensitivity in the intimate area affects not only the physical condition but also the psychological and sexual health of a man. Neurotomy offers the opportunity to return to a normal, pain-free, and fulfilling life without constant medication and restrictions.
Care and Professionalism
At "Genesis Dnipro" clinic, neurotomy in andrology is performed with maximum precision, safety, and respect for the patient. We help men eliminate pain, restore comfort, confidence, and harmony in their intimate lives.
