Hyaluronic Acid (HA) is a member of glycosaminoglycans family and is present in the extracellular matrix of dermis, epidermis, and stratum corneum. The physiological role of HA involves expansion of the extracellular matrix. This role is facilitated by the macromolecular nature of HA and its high capacity of water-binding. The native HA molecule has a short half-life in skin (~12 h), but its longevity can be expanded to several months by cross-linkage of HA molecules.
HA Fillers are composed of cross linked Hyaluronic Acid.
Glans penis augmentation with HA fillers that have the ability to absorb water to form highly viscous hydrated polymers which is speculated to act as a barrier between sensory nerves in glans penis and external stimuli of touch. Because of the barrier created, the man feels the sensation of touch less than usual. The same principle is applied behind the use of commercially available sprays which numb the penis to an extent to delay the ejaculation. But with sprays there is always a possibility to numb the penis to an extent where it doesn’t feel any sensations and fails to get erect. Whereas with the use of HA Fillers, there has not been any reported case of complete glans numbness resulting in erectile dysfunction.
Yes there are studies which have reported the use of HA Fillers for PE. All the studies concluded that HA Fillers are safe and effective in the treatment of PE. Some of the studies are as below:
The increase in time can vary in person to person but usually it is between 2-5 minutes as per clinical research studies. In some person it can be more and in some others it can be less as well.
HA Fillers are used in many parts of the body like lips, nose, face, breasts, buttocks etc. for improving their appearance. In all the reported clinical studies, no major side effects were observed in the patients undergoing HA Fillers for glans augmentation.
HA Fillers are considered relatively safer than other materials used for glans augmentation.
A 10 % lignocaine spray is used to numb the skin over the penis including the glans. A penile block is then given to ensure complete anesthesia of the penis. Local anesthesia is used for the procedure.
Yes, patients can go home the same day and resume all their activities. The procedure itself takes less than an hour.
Results vary from person to person but usually results start appearing at the end of the 1st month and keep on increasing for the next 3-6 months.
PE can be treated with the use of medicines which belong mainly to the category of Anti- Depressants. These medicines can improve the time from between 2-8 minutes. Each medicine has its own side effects and so it is important to speak to your doctor which medicine will suit you.
PE can also be treated by psychosexual therapy, behavioral therapy and in many cases by a surgery.
All types of treatments for PE are available at Institute of Andrology and Sexual Health (IASH).
In all glans penis injection with HA is a safe method that ensures a modest long-term significant increases in ejaculation time, improves ejaculatory control and improve couple satisfaction over their sexual intercourse.
IASH is equipped with all the required expertise and amenities to treat Premature Ejaculation safely and effectively.
Dr Chirag Bhandari would love to answer all your questions and doubts on premature ejaculation and its various treatment options.