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Urology  (Expert Forum)
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Hemorrhoid Treatment / Sexual Problems
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
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.

Hemorrhoid Treatment / Sexual Problems

by NO88, Nov 19, 2007 03:42PM
About three (3) years ago, I began a series of Infrared Light Treatments for hemorrhoids. There were approximately five (5) treatments over a two (2) year period followed by a Hemorrhoidectomy about ten (10) months ago. The Hemorrhoidectomy, which was done as an outpatient, resulted in a trip to the ER for a very full bladder and inabiity to urinate for about 48 hours. During the treatments prior to the surgery, I seemed to develop erectile disfuntion with loss of libido, which was treated with Viagra. Somewhere along the course of the treatments, the retrograde ejaculation became evident. I am 70 years old, and enjoyed normal sex relations prior to the treatments and surgery.

I have three (3) questions. Could the Infrared Treatments have caused either or both of these conditions? Could the Hemorrhoidectomy have caused either or both of the conditions? What would you recommend would be the best course of action to treat the retrograde ejaculation and decreased libido?

by Kevin Pho, MD, Nov 19, 2007 07:00PM
Difficult to say.  

Although still possible, I am not aware of these symptoms being common side effects of infrared treatments.  

Obtaining tests for infection, as well as thorough evaluation of the prostate can be done to exclude lower GU causes.  

The testosterone levels can be measured to evaluate the problems with the libido.  Retrograde ejaculation is typically treated with either tricyclic antidepressants, as well as the medication found in antihistamines and decongestants.  An evaluation of your current medication regiment should be done to ensure this isn't a side effect.

These questions can be discussed with your personal physician or urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com
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