Loss of tactile sensation in the penis (penile numbness) is part of the aging process. However, lifestyle, certain diseases and medication may have a profound effect on penile sensibility. Vigorous bike riding is one of the most common causes, as is sitting in certain positions or sitting in chairs with a design desastrous to human anatomy. When it comes to diseases, it is diabetes which causes the most trouble. Diabetes destroys both nerves and blood vessels. But there are also other diseases which may be responsible such as cancer or certain infectious diseases like HIV. More on the urologic side, Peyronie's disease or tumors such as prostate cancer might be responsible. Then there are alcohol and smoking. Alcohol is poisonous to nerves and may cause loss of penile senisitivity. B-vitamins are essential for nerve growth and integrity, especially vitamin B1, B6, B12 and Folic acid. So vitamin supplementation might be tried in these cases. Generally, a thorough physical examination has to be done with lab tests including an assessment of thyroid function. Therapeutically, a healthy lifestyle should be the foundation consisting of weight management, physical exercise, a non-smoking strategy and only small amounts of alcohol. Shockwave therapy (ESWT) might be a novel treatment approach as shockwaves are known for their positive action upon nerve function. Dr. med. Dr. phil. Stefan Buntrock, urologist from Göttingen, explains on Urochannel, how this is all connected.
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