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Glans Augmentation (PE Treatment)

Clinical Lead

Meva Clinic Clinical Care Team

Meva Clinic · Istanbul
Published: 2025-11-12
Last Updated: 2026-05-18

Glans Augmentation (PE Treatment)

Filler injection into the glans to delay ejaculation and increase visual volume.

Meva Clinic Clinical Care Team

Patient Care Information

Patient Care Information

"Our clinical approach prioritizes patient safety, individualized treatment planning, realistic expectations, and long-term follow-up throughout the international care journey."

About This Procedure

Why Choose Meva Clinic?

Filler injection into the glans to delay ejaculation and increase visual volume.

Glans augmentation places a small amount of hyaluronic acid (HA) filler beneath the skin of the glans, the head of the penis. It is considered for two different reasons: premature ejaculation, where a thin filler layer may reduce glans hypersensitivity, and a glans that feels small in proportion to the shaft. Both goals are discussed privately with the doctor, including the fact that HA is gradually absorbed, so the effect is temporary. Glans augmentation in Istanbul is done with a numbing cream, no hospital stay and about two hotel nights. Intercourse, masturbation and friction are avoided for 7–14 days to reduce the risk of filler displacement or infection. Sensation and appearance respond differently in each man. If shaft girth is also a concern, see HA filler for girth.

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Patient Care Information

Meva Clinic Clinical Care Team

Clinical Governance & Specialist Pathway Standards

This content is maintained by Meva Clinic’s Clinical Care Team for patient guidance and clinical transparency. Final treatment suitability, operating physician assignment, surgical planning, and medical decisions are confirmed only after medical history review, in-person consultation, diagnostic tests, anesthesia evaluation, and doctor availability.

Meva Clinic Clinical Care

Is This Treatment for Me?

Premature ejaculation linked to glans hypersensitivity, after assessment

A glans that feels small in proportion to the shaft

Men who prefer a non-surgical, temporary option

Comprehensive International Patient Care Plan

Private airport transfer according to the confirmed care plan

Bosphorus-view partner hotel, according to the confirmed care plan

Dedicated patient support during the confirmed care pathway

Aftercare guidance or materials according to the confirmed treatment plan

Follow-up guidance according to individual medical recommendations

The Clinical Procedure

Meva Clinic Clinical Care Team

1

Confidential Consultation

A private discussion of your goal (hypersensitivity, proportion or both), your medical history and whether HA filler is suitable for you.

2

Preparation

The area is cleaned under sterile conditions and a numbing cream is applied for comfort.

3

HA Injection

A small amount of hyaluronic acid filler is placed beneath the skin of the glans and shaped evenly.

4

Check and Aftercare

The doctor checks the result and explains aftercare, including 7–14 days without sexual activity, before you return to the hotel.

Recovery & Transformation Journey

1

Phase 1: First Days

Avoid direct friction or pressure on the treated area. Mild swelling or redness is common and usually settles on its own.

2

Phase 2: Careful Activity

Light daily activities can resume straight away. Avoid intense exercise, the gym and swimming for 7 days.

3

Phase 3: Sexual Abstinence

Avoid intercourse, masturbation and friction for 7–14 days to reduce the risk of filler displacement or infection.

4

Phase 4: Settled Result

The filler settles into place. Sexual activity and sport resume after the doctor's review; as HA is gradually absorbed, the effect is temporary.

The Meva Advantage

Specifically modulated sensitivity for lasting intimacy.

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Clinical Standards & Safety

Medical Guidelines & Safety Protocols

Hospital-based procedures are coordinated through accredited partner hospitals, including JCI-accredited institutions where clinically appropriate. Below are the clinical guidelines, safety protocols, and medical reference documentation for this procedure.

Indicated / Suitable For

  • Men with lifelong or long-standing premature ejaculation in whom glans hypersensitivity is considered a contributing factor after assessment.
  • Men who have tried or discussed first-line approaches, such as behavioural techniques, topical anaesthetic creams or medication, and found them unsuitable or not effective enough.
  • Men who feel the glans is small in proportion to the shaft and want a subtle, non-surgical increase in its volume.
  • Men who accept that hyaluronic acid is gradually absorbed, so the effect is temporary and may need maintenance.
  • Men able to avoid intercourse, masturbation and friction for 7–14 days after treatment.

Contraindications / Not Suitable

  • Active genital infection, balanitis, a sexually transmitted infection or skin lesions on the glans or foreskin at the time of treatment.
  • Known allergy to hyaluronic acid products or to the numbing cream used.
  • Premature ejaculation driven mainly by other causes, such as erectile difficulties, prostate inflammation, thyroid problems, anxiety or relationship factors, which need their own assessment first.
  • Bleeding disorders or anticoagulant medication that cannot be managed safely around the injection, as decided with the prescribing doctor.
  • Previous permanent (non-absorbable) fillers or silicone injections in the penis, which change the tissue and the risk profile.

Pre-Operative Evaluation & Diagnostic Checks

1

Confidential Andrology Consultation: Discussion of your goal (hypersensitivity, proportion or both), how long the premature ejaculation has been present and what has already been tried.

2

Symptom Questionnaire: A validated tool such as the Premature Ejaculation Diagnostic Tool (PEDT), with an estimate of time to ejaculation, to document the starting point.

3

Genital Examination: Assessment of the glans, foreskin and frenulum, checking for infection, phimosis or other findings that affect injection planning.

4

Medical and Medication Review: Allergies, anticoagulants, previous genital procedures or fillers, and conditions such as erectile dysfunction that may need treatment alongside.

Potential Risks & Complications

In compliance with transparent clinical reporting, Meva Clinic ensures patients are fully informed of the physiological risks associated with surgical procedures through accredited partner-hospital safety protocols where clinically appropriate.

Swelling, Redness and Bruising

Common in the first days; they usually settle without treatment, helped by avoiding friction and pressure on the glans.

Lumps, Nodules or Unevenness

Small irregularities can appear if the filler collects unevenly; gentle moulding at review often helps, and HA can be dissolved with the enzyme hyaluronidase if needed.

Filler Displacement

Early sexual activity or friction can shift the filler before it settles, which is why intercourse, masturbation and friction pause for 7–14 days.

Infection

Uncommon with sterile technique and correct aftercare; increasing pain, warmth, discharge or fever should be reported to the coordinator straight away.

Vascular Compromise

Rarely, filler can affect blood flow in the glans, causing colour change or unusual pain; this needs same-day review, as prompt hyaluronidase treatment can reverse it.

Changes in Sensation

The aim is to reduce hypersensitivity, but some men notice more numbness than expected or little change; because HA is gradually absorbed, these effects are temporary.

Realistic Expectations & Outcomes

Glans augmentation can lessen how intensely the glans reacts to touch and can add a modest amount of volume to the head of the penis. It is not a cure for premature ejaculation, and it does not address psychological, hormonal or erectile causes; major sexual-medicine guidelines do not yet recommend it as a routine treatment. Some men notice better control, others only a small change. Swelling in the first one to two weeks makes the glans look fuller than the final result, so shape and effect are judged once the filler has settled, at the doctor's review. Because HA is gradually absorbed, the effect fades over time and maintenance may be discussed.

Revision & Follow-Up Policy

Follow-up continues remotely, with check-ins at around 1, 3 and 6 months to review control, sensation, shape and any side effects. Small irregularities are assessed once swelling has gone down; a touch-up or, if needed, dissolving the filler with hyaluronidase is considered only after the tissues have settled and the doctor has reviewed photos or examined you in person. Any additional treatment is planned individually. For 12 months after your treatment you can also send photos to the medical team whenever you wish and receive their feedback, and your questions are answered remotely.

Authoritative Medical References & Studies

  • [1]
    Culha MG, Baran C, Erkoc M. Clinical efficacy and safety of hyaluronic acid gel injection in the glans penis for treatment of premature ejaculation: systematic review and meta-analysis. J Sex Med. 2024;21(10):878-888.View Source
  • [2]
    Roth BJ, Hammad MAM, Sultan MI, et al. Hyaluronic acid and urology: a systematic review and meta-analysis. Sex Med Rev. 2025;13(1):52-61.View Source
  • [3]
    Karamık K, Yıldız A, Koraş Ö, Arslan M. Glanular Ischemia following Glans Penis Augmentation: A Rare Case Report. Urol Int. 2025;110(2):208-212.View Study

Medical Disclaimer: This information is educational and does not replace a medical consultation. Hyaluronic acid injection of the glans for premature ejaculation is not yet part of routine guideline-based treatment; suitability, filler volume and technique are decided only after a confidential assessment by the treating doctor.

Frequently Asked Questions

The aim is to reduce hypersensitivity, not sensation. A thin HA layer may lessen how intensely the glans reacts, but each man responds differently and the effect is temporary as HA is gradually absorbed. The doctor discusses realistic expectations with you beforehand.
Yes, temporarily, with hyaluronic acid. In a meta-analysis of published studies, glans circumference increased by about 1.5 cm on average after injection; in one series, the average glans circumference before treatment was about 9 cm. The visible change depends on your anatomy and the filler volume the doctor considers safe. Swelling makes the glans look fuller at first, so the final shape is judged once it has settled.
It can help some men, but it is not a cure. In placebo-controlled trials pooled in a meta-analysis, time to ejaculation one month after treatment improved by about 65 seconds more than with placebo. Responses vary, and major sexual-medicine societies do not yet endorse it as a routine treatment. It is considered when hypersensitivity of the glans is a contributing factor and first-line options have not worked well enough.
Hyaluronic acid is gradually absorbed, so the effect is temporary, and how quickly it fades differs from man to man. In one long-term published series of 38 men, glans circumference at five years was about 15% smaller than at six months, and 76% of the men were still satisfied. Others notice the effect fading sooner. A maintenance session can be discussed once the doctor has reviewed your result.
In a meta-analysis covering 598 treated men, about 15% had a side effect, most often pain (7.7%), small nodules or blisters (4.2%) and bruising (3.3%). Uneven contour and filler displacement can occur, especially with early friction. Rarely, filler can compromise blood flow to the glans; this needs same-day review, as the enzyme hyaluronidase can dissolve the filler. Report any colour change or unusual pain to your coordinator straight away.
Plan for about two nights at the partner hotel. The injection is done with numbing cream, there is no hospital stay, and the doctor checks the result before you leave. Most men can return to work straight away. Avoid the gym, intense exercise and swimming for 7 days, and intercourse, masturbation and friction for 7–14 days, until the doctor confirms the filler has settled.
The glans is delicate and has a rich blood supply, so the product needs to be reversible. Hyaluronic acid can be dissolved with hyaluronidase if lumps, unevenness or a circulation problem occur. Permanent fillers such as silicone or PMMA cannot be removed this way and have been linked to hard nodules and deformity that may need surgery. For this reason, glans augmentation at Meva Clinic uses hyaluronic acid only.
A numbing cream is applied beforehand to keep the injection as comfortable as possible; you may feel pressure and some stinging while the filler is placed slowly beneath the skin of the glans. Mild soreness, swelling or redness in the following days is common and usually settles on its own; simple painkillers recommended by the doctor are normally enough. Pain that increases rather than improves should be reported straight away.
Glans augmentation is discreet: there is no hospital stay, no incision, and you can usually return to work straight away, so you do not need to explain a long absence. Your enquiry, photos and medical details are handled only by your patient coordinator and the medical team. Photos are optional at the first contact and are requested only if the doctor needs them.

Procedure Details

Hospital Stay

None

Hotel Package

2 Nights

Return to Work

Immediate

Anaesthesia

Topical

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Medical Disclaimer: The clinical information on this website is for educational and informational purposes only. It does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified physician or healthcare provider regarding any medical condition or surgical procedure in Turkey.

Airport transfers are included in the confirmed package; partner-hotel stays are optional, on request (separate cost).

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