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Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
Question Title: PAIN IN GROINForum: The Urology Forum
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I HAD MY PROSTATE REMOVED THREE YEARS AGO(CANCER) THIS PAST TWO MONTHS I HAVE DEVELOPED SOME PAIN ON THE RIGHT SIDE OF MY GROIN. IT GETS WORSE AFTER INTERCOURSE AND WHEN I HAVE AN ORGASM. ALSO AT THAT TIME I GET A REAL BURNING SENSATION IN MY PENIS. I FEEL NO LUMPS NO SWELLING ETC. PLEASE ADVISE
Dear Gary, I can’t tell you physiologically why you are having this pain after a radical prostatectomy, but I can tell you that you are not crazy. There was an article presented several years ago at our National Urologic Convention pertaining to pain with orgasms after radical prostatectomy. There have been several theories about the inervation of the pelvis after radical prostatectomy but there is little evidence to prove any of these theories. In this article, the presenters recommended the use of alpha-blockers to treat this pain associated with orgasm. You could speak to your urologist about these medications and possible give them a try. I asked several of the local urologist here at Henry Ford and they had little to add. I did a literature search in our major medical journals. There were two articles relating to ejaculation after radical prostatectomy. One from Johns Hopkins and the other from The Netherlands. One of the articles conducted a survey indicating what orgasm was like before and after radical prostatectomy. Over half of the patients complained that their orgasm was weakened and there was no so-called “point of no return”. Twenty percent experience normal sensation as before surgery. There were a small percent of patients who lost urine at orgasm and have refrained from intercourse. There has not been a significant amount of research in the area of ejaculation and orgasm after radical prostatectomy and I cannot answer your question as well as I would like to. I do think that trying the alpha blockers is worth a try so talk to your urologist. This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568). Sincerely,
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