30 men with groin sensation but no penile sensation (owing to spina bifida or spinal cord injury) underwent the TOMAX procedure—microsurgical unilateral connection of the sensory ilioinguinal nerve to the dorsal nerve of the penis. 80% regained unilateral sensation to the glans, which was initially felt as 'groin sensation' but evolved into real glans sensation in 33%. These men described better sexual function and increased satisfaction and were also better able to manage their continence and hygiene. TOMAX should be used as a standard-of-care in such men.