GLANS ENLARGEMENT FOR PREMATURE EJACULATION

(Glans Filler – Reducing Sensitivity with Hyaluronic Acid)

Premature ejaculation is one of the most common sexual dysfunctions we see in men, and it often seriously affects both a person’s self-confidence and the quality of their sex life. In my clinical practice, I observe a common cause in a significant proportion of patients who come to me with complaints of premature ejaculation:the glans penis is more sensitive than normal.

This condition occurs because the nerve endings in the glans transmit stimuli such as touch and pressure too quickly. Since the stimulus threshold is very low, the ejaculation reflex is triggered much earlier than it should be. This is wherepenile glans augmentation comes into play as a modern treatment option.

In this blog post, as a urology professional,I will explain in detail—but in language that everyone can understand—what penile head augmentation is, how it’s performed, who it’s suitable for, how long the effects last, and how it treats premature ejaculation.It has been meticulously prepared to serve as an accurate and up-to-date resource based on scientific facts.

Why Is Glans Sensitivity Important?

The glans, the most sensitive part of the penis, contains millions of nerve endings. These nerve endings:

• A light touch,
• Pressure changes,
• Vibration,
• Surface tension,
• Frictional motions

It transmits signals to the brain extremely quickly.

In some men, these nerve endingsare overly sensitive. This means that even the slightest stimulation of the penis is transmitted to the brain as a signal that is much stronger than normal. This is one of the most significant biological causes of premature ejaculation.

As Prof. Dr. Volkan İzol,based on my clinical experience, I can say that:
✔ In men with high sensitivity in the glans penis, the time to ejaculation is significantly shorter.
✔ This sensitivity can be congenital or develop later in life.
✔ Sprays and creams are often not sufficient.

For this reason, penile head augmentation is a particularly valuable treatment option for patients with primary (congenital) premature ejaculation.

What Is Penile Glans Augmentation?

Penile head augmentation is a non-surgical sexual health treatment involving the injection of ahyaluronic acid-based filler into the area beneath the glans.

The filler settles into the soft tissue immediately below the glans:

• It reduces the sensitivity of nerve endings to stimuli,
• It reduces sensitivity by 20–40 percent,
• It balances the intensity of the signals traveling to the dorsal nerve,
• Improves ejaculation control,
• It significantly prolongs the duration of premature ejaculation.

The primary purpose of this methodis not to alter the physical shape of the glans, butto achieve sensory balance.

Why Are Hyaluronic Acid Fillers Used?

Hyaluronic acid (HA):

• Found naturally in the body,
• Non-allergic,
• Biocompatible,
• Absorbable,
• It is a very safe substance.

Since it occurs naturally in the skin, joints, and connective tissues, it can also be used safely in the penile region. The most important property of this filleris that it forms a buffer layer between nerve endings and external stimuli.

This buffer layer:

✔ Reduces sensitivity
✔ Raises the arousal threshold
✔ Helps control premature ejaculation

How Does Glans Penis Augmentation Treat Premature Ejaculation?

The mechanism by which this treatment addresses premature ejaculation is highly scientific and clear. It works through three main effects:

1) Shock-Absorbing Damping Effect (“Damping”)

The filler material settles beneath the glans, acting as a cushion between the nerve endings and external stimuli.

As a result:

• Nerve endings are not overstimulated,
• The warning signal fades,
• The reflex is delayed.

This mechanism yields excellent results, particularly in cases ofpremature ejaculation caused by hypersensitivity.

2) Raises the Nerve Stimulation Threshold

Normally, the nerve endings in the glans are stimulated at a very low threshold.

The filler raises this threshold, thereby increasing tolerance to the stimulus.

For this reason:

• The patient feels that they have been warned,
• However, the reflex is more controlled than it used to be.

3) Strengthens the Sense of Psychological Control

One of the most significant issues for men experiencing premature ejaculation is psychological pressure.
After treatment:

• Self-confidence increases
• Anxiety decreases
• Sexual performance is positively affected

This psychological effect alone can prolong the duration of the relationship.

Who Is It For?

As Prof. Dr. Volkan İzol, I recommend this treatment specifically for the following patients:

✔ Those with high sensitivity in the glans
✔ Those who have not seen sufficient benefit from sprays, creams, and medications
✔ Primary (congenital) premature ejaculation
✔ Those who cannot control ejaculation even during masturbation
✔ Those with a low threshold on sensitivity testing (Penile Sensometer)
✔ Men who do not want or are not suitable for nerve freezing
✔ Those seeking both functional and aesthetic improvement, even if only mild

For men with these characteristics, penile head augmentation is one of the most effective methods for treating premature ejaculation.

Who Is It Not Suitable For?

The transaction may be postponed in the following cases:

✘ Penile infection
✘ Excessively thin glans mucosa
✘ Advanced neuropathy
✘ Uncontrolled diabetes
✘ Allergic predisposition (very rare)

How Is Penile Head Augmentation Performed? (Detailed Step-by-Step Guide)

The procedure takes an average of 10–15 minutes and is not a surgical procedure.

1) Anesthesia Administration

Local anesthesia is administered to the glans. The patient feels no pain.

2) Preparation of the Filling Material

High-density, long-acting hyaluronic acid is selected.

3) Application Using a Microcannula

A blunt-tipped microcannula is used instead of a sharp needle.
Thus:

• No bruising
• No damage is done to the nerves
• The risk of infection decreases

4) Distribution of the Filler Under the Glans

The filler is applied evenly over the entire glans area.

5) Final Check and Shaping

The natural appearance is preserved, and symmetry is achieved.

6) Same-Day Discharge

Patients return to their normal lives immediately after the procedure.

Post-Procedure Process

The first 2–3 days after the filler treatment:

• There may be mild swelling
• With Glansta, a feeling of fullness is natural
• Sex is not recommended for 72 hours
• No massages are provided
• A hot shower can be postponed

This issue will resolve itself on its own shortly.

How Long Does a Filler Delay Premature Ejaculation?

Scientific studies and clinical experience show that:

✔ Ejaculation time may increase by 3–5 times

✔ Sensitivity decreases significantly

✔ You gain more control over sexual intercourse

✔ The warning threshold increases

✔ Anxiety decreases

✔ Partner satisfaction increases

The success rate is very high among men with hypersensitivity.

How Long Does the Filler Last?

Average duration of effect:

12–24 months

In some patients, it may take longer.
As the filler dissolves, the procedure can be repeated in the same way.

How Much Filler Should Be Used?

Generally:

• 2 ml
• 3 ml
• 4 ml

It is selected based on the anatomy of the glans.

To achieve a natural look, do not use excessive amounts.

Do Fillers Ruin Your Appearance?

No. The filler is injected into the underlying layer of the glans and is not visible from the outside.
Your partner will not notice any change.

Possible Side Effects

Penile head augmentation is a safe procedure.
Rare side effects:

• Mild edema
• Temporary sensitivity
• Rarely asymmetry
• Infections are very rare

When done under the right conditions, there is virtually no risk.

Penis Head Filler or Nerve Freezing? Which Is More Effective?

Both methods help regulate sensitivity in cases of premature ejaculation.

Penile Glans Augmentation:

• Aesthetic + desensitizing
• Effective for 12–24 months
• Very effective for glans hypersensitivity

Nerve Cryoablation:

• It affects the dorsal nerve itself
• Longer-lasting (6–36 months)
• A stronger effect with very high sensitivity

The most compelling result:

👉 In some patients, this is achieved througha combined approach(filling + nerve freezing).

Frequently Asked Questions

Does the sensation disappear completely after the filler injection?

No. The goal is not to lose sensation, but to balance sensitivity.

Does the partner matter?

No, there is no noticeable change in the foreskin.

Does it reduce sexual desire?

No, it has nothing to do with libido.

Is it a painful procedure?

No, thanks to local anesthesia, it's a comfortable procedure.

Conclusion: Penile Head Augmentation Is an Effective and Safe Method for Treating Premature Ejaculation

In the treatment of premature ejaculation, glans injection plays a very important role in modern urology because it reduces sensitivity and improves ejaculatory control.

As Prof. Dr. Volkan İzol,I can say that in my clinical practice, this treatment has a high success rate, particularly among men with hypersensitivity. It has positive effects from both a medical and psychological perspective. It is non-surgical, safe, and provides long-lasting results.

When applied with the right patient selection and the right technique, it becomes one of the most successful methods for treating premature ejaculation.