Nerve Conduction Study

[Osprey_1]

I’ve been on this forum several times regarding my numb dick and inability to have an orgasm 3 months post surgery. I just met with my surgeon, and he keeps telling me “everything is fine” and “I’m not worried.” Well he may not be, but I sure as hell am. Fucking with a numb dick with no ability to orgasm is worse than not having sex at all. Several people on this forum have told me to get a nerve conduction study by a neurologist. My question: has anyone reading this been in a similar situation and done a nerve conduction study. What were the results? Did the neurologist help in any way, or was it a waist of time?

[Kodixx]

Osprey_1, I have not, and cannot answer your questions directly. But I have spoken in favor of a neurological consultation if I were in the same situation. And since I've experienced a decrease in sensation I've done a small amount of reading for myself.
FWIW -- below is a summary of related information.

- Chuck

AI Overview
Yes, a nerve conduction study (NCS) can be a helpful tool in diagnosing the cause of a numb penis, especially if nerve damage or dysfunction is suspected.

Here's why and how:
What a Nerve Conduction Study Does: NCS measures how well and how quickly electrical signals travel along a nerve. It helps identify if a nerve is damaged, compressed, or not functioning properly.
Relevance to Penile Numbness: Penile numbness, or loss of sensation, can be caused by various factors, including damage or dysfunction of the nerves in the penis or surrounding pelvic area, such as the pudendal nerve.
How NCS Helps: By stimulating the nerves involved in penile sensation (like the dorsal nerve of the penis, a branch of the pudendal nerve) and recording the nerve's response, a healthcare provider can assess the nerve's health and conductivity. Abnormalities in the nerve signal can indicate nerve damage or other nerve problems, which could be the cause of the numbness.
Specific Applications: NCS studies of the dorsal nerve of the penis can be particularly useful in evaluating potential nerve-related causes of erectile dysfunction (ED) and may allow examination of the most distal segment of the pudendal nerve.

However, it's important to remember:
NCS is not the only test: Penile numbness can have numerous causes, and NCS is just one part of a comprehensive diagnostic process. Your doctor may also recommend other tests, such as blood tests, imaging scans (like MRI), or penile biothesiometry, depending on your individual situation.
Treating the underlying cause is key: If a nerve problem is identified as the cause of your penile numbness, treatment will focus on addressing that specific issue, which may involve medication, physical therapy, or other interventions.
If you are experiencing penile numbness, it's essential to consult with a healthcare professional for proper diagnosis and treatment. They can determine the underlying cause and recommend the most appropriate course of action, which may include a nerve conduction study.

My question: has anyone reading this been in a similar situation and done a nerve conduction study. What were the results? Did the neurologist help in any way, or was it a waist of time?

[Gt1956]

Not the same but perhaps similar. My wife had persistent pain from a car accident where the airbag threw her hand into the windshield.
The only relief she got was by going to a pain specialist. He used some technics where he was able to put the nerve asleep & let it slowly wake up. This has a tendency to allow the nerves to reset. Twice she had a very dicey injection in her neck near a very large artery.
All I can say is the guy was a genius.
I haven't followed your surgery very much. Was your implant done by the scrotal or pubic method? My dr refuses to use the pubic approach. He said why risk nerve damage. Who am I to argue with him.
In my totally non medical opinion. I think you're wise in seeing a nerve dr. The wild card is which specialty of nerve dr to see.
I wish you the best of luck in solving this.

[Osprey_1]

I had the penescrotsl approach. My dr claims that I can’t be numb because he was nowhere around the nerves. Yet, I am mostly numb. So I feel I am alone to figure this out.

[stgalli]

@ Osprey_1. A lot of people on this forum, including me, report loss of feeling and difficulty achieving orgasm for some months after surgery. Three months is early yet. It can take a year for things to get back to something like normal. I don't think nerve conduction studies will help. I read a research report where they performed nerve conduction tests on men who had undergone penile implants and didn't find any measurable loss, even in the approximately 25% of the men who reported feeling numb after surgery. The mechanism for the numbness must involve some sensory nerves that aren't tested by the nerve conduction tests. (Maybe inside the cavernosa?) My advice would be to not worry too much about it since it will probably improve, and to avoid the temptation to compensate with overly aggressive masturbation. Instead, you may want to try using a powerful vibrator, such as the Hitachi wand. Some men find that trimix gel inserted intra-urethrally increases the sensitivity and ability to have an orgasm, in addition to causing engorgement of the corpus spongiosum and head of the penis. Hope this helps.

[Osprey_1]

Thanks, that was very useful.

[Osprey_1]

Thalli - look for a DM from me.

[Osprey_1]

Whoops - stgalli DM