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Glans penis

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({{GraphicWarning}}In male human anatomy, the '''glans penis'''(or simply glans, /ɡlænz/)[1] is the sensitive bulbous structure at the distal end of the [[penis]]. The following text glans is quoted from anatomically homologous to the English [http://en[clitoral glans]] of the human female.wikipediaTypically, the glans is completely or partially covered by the [[foreskin]], except in men who have been [[circumcised]], though the [[foreskin]] can generally be retracted over and past the glans.org/wiki/Glans_penis Wikipedia]:'')
<blockquote>In male human anatomy, the '''glans penis''' (or simply glans, /ɡlænz/)[1] is the sensitive bulbous structure at the distal end of the [[Image:Glans side.jpg|right|thumb|Human penis]]. The glans is anatomically homologous with its foreskin retracted to expose the clitoral glans of the human female. Typically, the glans is completely or partially covered by the [[foreskin]], except in men who have been circumcised, though the [[foreskin]] can generally be retracted over and past the glans.</blockquote>
The glans penis, or simply the glans, refers to the ''head of the penis''. Nature treated the glans penis as an internal organ, so the epithelium is mucosa and provided the foreskin for protection against [[infection]] and [[trauma]]. The glans is normally covered by a hood of folded [[skin]] called the [[foreskin]]. The foreskin moisturizes the glans penis by [[transudation]]. The surface of the glans is mucosal tissue that, under normal conditions in the [[preputial sac]], is moist and supple. If left uncovered for long periods of time, the surface of the glans becomes desiccated. In the [[circumcised]] penis, the glans is permanently exposed; the surface of the glans dries out and develops layers of [[keratinization|keratin]] and loses sensation.
----The glans penis receives much of its blood supply through the [[frenular artery]]. If the frenular artery is damaged by circumcision, the glans penis of some men may not get full [[erection]].
==First retraction of the foreskin==
{{FromIntactWiki|URL=http://intactwikiFunctions of the [[foreskin]] include protecting the glans penis from abrasion, [[keratinization]] and moistening it by with body oils and moisture to keep it moist, smooth, and glossy with full sensation.org/wiki/Glans_Penis|Title<ref name=Glans Penis}}"fleiss-hodges-vanhowe1998">{{Construction SiteFleissP HodgesF VanHoweRS 1998}}</ref> The glans of the [[foreskinned]] [[penis]] under the foreskin normally is kept moist to wet with a mixture of moisture and skin oil by transudation. The foreskin will also collect [[pre-ejaculate]] when it is secreted. There may be a substantial accumulation of beneficial [[smegma]] that has been collecting there harmlessly since birth.
It is normal for the glans penis (head of the penis) to be very sensitive to touch when the [[Image:Glans side.jpg|right|thumb|Human penis with its foreskin ]] is retracted to expose for the glansfirst time since birth.]]
The glans penis, or simply the glans, refers There is no particular reason to touch the head of the penis. The glans so, if it is usually covered by a hood of folded skin called the [[foreskin]]. The surface of the glans is mucosal tissue thatpainful to touch, under normal conditions, is moist and supplethen one may simply avoid touching it. If left uncovered for long periods of time, Keeping the surface of foreskin forward in its protective position over the glans begins to dry out. In the [[circumcision|circumcised]] penis, the glans is permanently exposed; the surface of the glans dries out and develops layers of [[keratinization|keratin]] and loses sensationalso prevents pain.
==Sensitivity and innervation of the glans penis ==
Cepeda-Emiliani et al. (2023) reported the glans penis has dual innervation from both the dorsal and perineal nerves.<ref name="cepeda2023">{{REFjournal
|last=Cepe da-Emiliani
|first=
|init=A
|author-link=Alfonso Cepeda-Emiliani
|last2=Gándara-Cortés
|first2=
|init2=M
|author2-link=
|last3=Otero-Alén
|first3=
|init3=M
|author3-link=
|last4=García
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|author4-link=
|last5=Suárez-Quintanilla
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|last6=García-Caballero
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|last7=Gallego
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|author7-link=
|last8=García-Caballero
|first8=
|init8=R
|author8-link=
|etal=no
|title=Immunohistological study of the density and distribution of human penile neural tissue: gradient hypothesis
|trans-title=
|language=
|journal= Int J Impot Res
|location=
|date=2023-05-02
|volume=35
|issue=3
|article=
|page=
|pages=286-305
|url=https://www.nature.com/articles/s41443-022-00561-9
|archived=
|quote=
|pubmedID=35501394
|pubmedCID=
|DOI=10.1038/s41443-022-00561-9
|accessdate=2023-11-24
}}</ref>
The human glans penis has virtually no fine touch sensation and can only sense deep pressure and pain at a high threshold. This was first reported by the inventor of the aesthesiometer,<!-- <ref>{{Von (1894)}} | [[Template:Von (1894)|see more]]</p></ref> --> and led Sir Henry Head to make his famous comparison with the back of the heel.<!-- <ref>{{Head (1920)}} | [[Template:Head (1920)|see more]]</p></ref> -->
The [[dartos|dartos muscle sheet ]] in the [[foreskin ]] produces contractions that are slow, sustained, and may produce great force, such as in cold temperatures.<refname="jefferson1916">Jefferson G. [http://www.cirp.org/library/anatomy/jefferson/| The peripenic muscle; some observations on the anatomy of phimosis]. ''Surgery, Gynecology and Obstetrics'' 1916 Aug;23(2):177-81.</ref>
The innervation of the glans responds to pressure hence the glans are meant to be stimulated with the [[foreskin ]] as its medium.
While the human glans penis is protopathic, the prepuce contains a high concentration of touch receptors in the [[ridged band]].
In the human [[penis]], the prepuce is known to have ten times more corpuscular sensory receptors than the glans penis.
Most people are surprised to learn that the glans penis is one of the least sensitive parts of the entire body.<refname="halata1985">Halata Z, Munger BL. [http://www.cirp.org/library/anatomy/halata/ The [Neuroanatomical basis for the protopathic sensibility of the human glans penis]. ''Brain Res'' 1986 Apr 23;371(2):205-30.</ref>The glans is insensitive to light touch, heat, cold, and even pinpricks, as researches at the Department of Pathology in the Health Science Centre at the {{UNI|University of Manitoba |UManitoba}} discovered.<refname="taylor1996">Taylor JR, Lockwood AP, Taylor AJ. [http://www.cirp.org/library/anatomy/taylor/The prepuce: specialized musocsa of the penis and its loss to circumcision]. ''Br J Urol'' {{TaylorJR LockwoodAP TaylorAJ 1996 Feb;77(2): 291-5}}</ref>
The corona of the glans contains scattered free nerve endings, genital end bulbs, and pacinian corpuscles, which transmit sensations of pain and deep pressure. The glans is nearly incapable of detecting light touch.
An impressive study performed by objective Chinese researchers conclusively demonstrated that [[adult circumcision| circumcision]] reduces the glans sensitivity to vibration. "The test group were 1.97 +/- 0.71, 2.64 +/- 1.38, 3.09 +/-1.46 and 2.97 +/- 1.20 respectively before and 1, 2 and 3 months after circumcision, with significant difference between pre- and post-operation (P < 0.05).<ref name="young2008">{{REFjournal |last=Yang |first= |init=D |author-link= |last2=Lin |first2= |init2=H |author2-link= |last3=Zhang |first3= |init3=B |author3-link= |last4=Guo |first4= |init4=W |author4-link= |etal=no |title=[Circumcision affects glans penis vibration perception threshold] |trans-title= |language=Chinese |journal=Zhonghua Nan Ke Xue |date=2008-04 |volume=14 |issue=4 |pages=328-30 |quote=https://www.ncbi.nlm.nih.gov/pubmed/18481425?dopt=Abstract |pubmedID=18481425 |pubmedCID= |DOI= |doi= |accessdate=2024-03-14}}</ref>==Comparison with other primates==The results of a fascinating study conducted by Dr. [[Christopher J. Cold ]] and Dr. [[Ken McGrath|Kenneth A. McGrath ]] demonstrate that the human [[foreskin in ]] is an evolutionary advancement over the foreskins of other primates. The human [[foreskin ]] is far more sophisticated and responsive, as their comparative anatomy studies prove. This is seen most clearly in the evolutionary increase in corpuscular innervation and simultaneous decrease in corpuscular receptors in the human glans relative to the innervation of the foreskin and glans of lower primates.<ref>Cold CJ, [[Ken McGrath|McGrath KA]]. [http://www.cirp.org/library/anatomy/cold-mcgrathmcgrat/Anatomy and histology of the penile and clitoral prepuce in primates: an evolutionary perspective of the specializes sensory tissue of the external genitalia]. In: Denniston GC, Hodges MF, Milos FM (eds). ''Male and female circumcision: Medical, Legal, and Ethical Considerations in Pediatric Practice''. New York: Kluwer Academic/Plenum Publishers, 1999. pp. 19-29</ref> In other words, in monkeys and apes, the glans is more sensitive then the foreskin. In humans, this is reversed, so that the foreskin is more sensitive then the glans.  An impressive study performed by objective Chinese researchers conclusively demonstrated that circumcision reduces the glans sensitivity to vibration. "The test group were 1.97 +/- 0.71, 2.64 +/- 1.38, 3.09 +/-1.46 and 2.97 +/- 1.20 respectively before and 1, 2 and 3 months after circumcision, with significant difference between pre- and post-operation (P < 0.05)."(1)<ref>Yang, D.-M., Lin, H., Zhang, B., & Guo, W. (2008). [https://www.ncbi.nlm.nih.gov/pubmed?Db=pubmed&Cmd=Retrieve&list_uids=18481425&dopt=abstractplus| Circumcision affects glans penis vibration perception threshold]. Zhonghua nan ke xue National Journal of Andrology, 14(4), 328-330. Retrieved May 17 2011 </ref>
In other words, in monkeys and apes, the glans is more sensitive then the foreskin. In humans, this is reversed, so that the [[foreskin]] is more sensitive then the glans.
{{SEEALSO}}
* [[Pheromone]]
* [[Preputial sac]]
* [[Sexual effects of circumcision]]
{{REF}}
[[Category:Genital]]
[[Category:Penile anatomy]]
[[Category:Physiology]]
[[Category:From Intactipedia]]
[[Category:From IntactWiki]]
 
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[[Category:Penile anatomy]]
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