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Urology (Expert Forum)
PAIN IN GROIN
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Doctor's Answer
by hfhs M.D.-AK, Mar 05, 1999 12:00AM
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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,
HFHS M.D.-AK
*keyword:Sexual dysfunction, radical prostatectomy
Member Comments
by JIM_O, May 09, 2009 09:11PM
A related discussion, orgasmic pain after prosatectomy was started.
