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Odynorgasmia

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Odynorgasmia
Other namesPainful ejaculation, dysejaculation, dysorgasmia, and orgasmalgia.
SpecialtyUrology

Odynorgasmia, or painful ejaculation, also referred to as dysejaculation, dysorgasmia, and orgasmalgia,[1] is a physical syndrome described by pain or burning sensation of the urethra or perineum during or following ejaculation. Causes include: infections associated with urethritis, prostatitis, epididymitis; use of anti-depressants; cancer of the prostate or of other related structures; calculi or cysts obstructing related structures; trauma to the region.[1][2][3]

Signs and symptoms

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Ejaculations that hurt can range in intensity from mild discomfort to unbearable agony. Everywhere in the pudendal territory, including the penis, scrotum, and perineal/perianal area, is susceptible to it.[1] Usually starting right before or during ejaculation, the pain usually lasts for two to twenty-four hours.[4][5] The person may have less sexual desire and self-worth as a result of this issue, which could lead to a lower quality of life.[6]

Causes

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Ejaculation pain can be caused by a variety of medical conditions, but it can also be an idiopathic issue.[1] Early reports suggested that painful ejaculation may be associated with herniorrhaphy,[7][8][9][10] pelvic radiation,[11] prostate surgery,[12][13] benign prostatic hyperplasia,[14][15][16] prostate cancer,[17][18] inflammation of prostate,[19][20] antidepressants,[21][22] sexually transmitted diseases,[23][24] sexual neurasthenia, and calculi in the seminal vesicles.[1]

Treatment

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The cause of post-orgasmic pain determines the course of treatment. Antibiotics and non-steroidal anti-inflammatory medications are prescribed if infectious or inflammatory processes are thought to be the cause.[25] Transurethral seminal vesiculoscopy is the preferred method for treating pain associated with seminal vesicles.[26] Balloon dilatation or transurethral ejaculatory duct resection are two treatments for ejaculatory duct obstruction.[27] In one study, tamsulosin-treated patients' symptoms significantly improved after four weeks of treatment.[5] This is also helpful for painful ejaculation following radical prostatectomy.[5]

References

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  1. ^ a b c d e Parnham, Arie; Serefoglu, Ege Can (August 1, 2016). "Retrograde ejaculation, painful ejaculation and hematospermia". Translational Andrology and Urology. 5 (4): 59201–59601. doi:10.21037/tau.2016.06.05. ISSN 2223-4691. PMC 5002007. PMID 27652230. Retrieved August 29, 2023.
  2. ^ Richard Balon, R. Taylor Segraves, Handbook of sexual dysfunction, Informa Healthcare; 1 edition (April 14, 2005), pg 241
  3. ^ Donnellan P, Breathnach O, Crown JP (April 2001). "Odynorgasmia". Scandinavian Journal of Urology and Nephrology. 35 (2): 158. doi:10.1080/003655901750170687. PMID 11411663. S2CID 218867962.
  4. ^ Barnas, Jennifer L.; Pierpaoli, Steven; Ladd, Patricia; Valenzuela, Rolando; Aviv, Nadid; Parker, Marilyn; Waters, W. Bedford; Flanigan, Robert C.; Mulhall, John P. (August 25, 2004). "The prevalence and nature of orgasmic dysfunction after radical prostatectomy". BJU International. 94 (4). Wiley: 603–605. doi:10.1111/j.1464-410x.2004.05009.x. ISSN 1464-4096. PMID 15329121. S2CID 37618215.
  5. ^ a b c Barnas, Jennifer; Parker, Marilyn; Guhring, Patricia; Mulhall, John P. (2005). "The Utility of Tamsulosin in the Management of Orgasm-Associated Pain: A Pilot Analysis". European Urology. 47 (3). Elsevier BV: 361–365. doi:10.1016/j.eururo.2004.10.020. ISSN 0302-2838. PMID 15716202.
  6. ^ VALLANCIEN, GUY; EMBERTON, MARK; HARVING, NIELS; van MOORSELAAR, R. JEROEN A. (2003). "Sexual Dysfunction in 1,274 European Men Suffering from Lower Urinary Tract Symptoms". Journal of Urology. 169 (6). Ovid Technologies (Wolters Kluwer Health): 2257–2261. doi:10.1097/01.ju.0000067940.76090.73. ISSN 0022-5347. PMID 12771764.
  7. ^ Butler, J D; Hershman, M J; Leach, A (1998). "Painful ejaculation after inguinal hernia repair". Journal of the Royal Society of Medicine. 91 (8). SAGE Publications: 432–433. doi:10.1177/014107689809100811. ISSN 0141-0768. PMC 1296846. PMID 9816362.
  8. ^ Aasvang, Eske K.; Møhl, Bo; Kehlet, Henrik (August 1, 2007). "Ejaculatory Pain". Anesthesiology. 107 (2). Ovid Technologies (Wolters Kluwer Health): 298–304. doi:10.1097/01.anes.0000270736.28324.61. ISSN 0003-3022. PMID 17667575.
  9. ^ Aasvang, Eske Kvanner; Møhl, Bo; Bay-Nielsen, Morten; Kehlet, Henrik (2006). "Pain related sexual dysfunction after inguinal herniorrhaphy". Pain. 122 (3). Ovid Technologies (Wolters Kluwer Health): 258–263. doi:10.1016/j.pain.2006.01.035. ISSN 0304-3959. PMID 16545910. S2CID 32383060.
  10. ^ Verhagen, T.; Loos, M. J. A.; Scheltinga, M. R. M.; Roumen, R. M. H. (August 11, 2015). "Surgery for chronic inguinodynia following routine herniorrhaphy: beneficial effects on dysejaculation". Hernia. 20 (1). Springer Science and Business Media LLC: 63–68. doi:10.1007/s10029-015-1410-5. ISSN 1265-4906. PMID 26260489. S2CID 31529831.
  11. ^ Merrick, Gregory S.; Wallner, Kent; Butler, Wayne M.; Lief, Jonathan H.; Sutlief, Steven (September 25, 2001). "Short-term sexual function after prostate brachytherapy". International Journal of Cancer. 96 (5). Wiley: 313–319. doi:10.1002/ijc.1028. ISSN 0020-7136. PMID 11582584.
  12. ^ Matsushita, Kazuhito; Tal, Raanan; Mulhall, John P. (2012). "The Evolution of Orgasmic Pain (Dysorgasmia) Following Radical Prostatectomy". The Journal of Sexual Medicine. 9 (5). Oxford University Press (OUP): 1454–1458. doi:10.1111/j.1743-6109.2012.02699.x. ISSN 1743-6095. PMID 22458302.
  13. ^ Koeman, M.; Van Driel, M.F.; Weijmar Schultz, W.C.M.; Mensink, H.J.A. (1996). "Orgasm after radical prostatectomy". British Journal of Urology. 77 (6). Wiley: 861–864. doi:10.1046/j.1464-410x.1996.01416.x. ISSN 0007-1331. PMID 8705222.
  14. ^ Nickel, J. Curtis; Elhilali, Mostafa; Vallancien, Guy (February 10, 2005). "Benign prostatic hyperplasia (BPH) and prostatitis: prevalence of painful ejaculation in men with clinical BPH". BJU International. 95 (4). Wiley: 571–574. doi:10.1111/j.1464-410x.2005.05341.x. ISSN 1464-4096. PMID 15705082. S2CID 6048734.
  15. ^ Li, Man-Kay; Garcia, Lester; Patron, Nelson; Moh, Lei Chang; Sundram, Murali; Leungwattanakij, Somboon; Pripatnanont, Choosak; Cheng, Christopher; Chi-Wai, Man; Loi-Cheong, Ngai (November 13, 2007). "An Asian multinational prospective observational registry of patients with benign prostatic hyperplasia, with a focus on comorbidities, lower urinary tract symptoms and sexual function". BJU International. 101 (2). Wiley: 197–202. doi:10.1111/j.1464-410x.2007.07320.x. ISSN 1464-4096. PMID 18005205. S2CID 32972540.
  16. ^ Rosen, Raymond C.; Fitzpatrick, John M. (September 3, 2009). "Ejaculatory dysfunction in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia". BJU International. 104 (7). Wiley: 974–983. doi:10.1111/j.1464-410x.2009.08503.x. ISSN 1464-4096. PMID 19426189. S2CID 37298480.
  17. ^ Walz, Jochen; Perrotte, Paul; Gallina, Andrea; Bénard, Francois; Valiquette, Luc; McCormack, Michael; Montorsi, Francesco; Karakiewicz, Pierre I. (2007). "Ejaculatory Disorders May Affect Screening for Prostate Cancer". Journal of Urology. 178 (1). Ovid Technologies (Wolters Kluwer Health): 232–238. doi:10.1016/j.juro.2007.03.037. ISSN 0022-5347. PMID 17499807.
  18. ^ Kleinberg, Lawrence; Wallner, Kent; Roy, Jitendra; Zelefsky, Michael; Arterbery, V.Elayne; Fuks, Zvi; Harrison, Louis (1994). "Treatment-related symptoms during the first year following transperineal 125I prostate implantation". International Journal of Radiation Oncology*Biology*Physics. 28 (4). Elsevier BV: 985–990. doi:10.1016/0360-3016(94)90119-8. ISSN 0360-3016. PMID 8138452.
  19. ^ Wagenlehner, Florian M.E.; van Till, J.W. Olivier; Magri, Vittorio; Perletti, Gianpaolo; Houbiers, Jos G.A.; Weidner, Wolfgang; Nickel, J. Curtis (2013). "National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) Symptom Evaluation in Multinational Cohorts of Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome". European Urology. 63 (5). Elsevier BV: 953–959. doi:10.1016/j.eururo.2012.10.042. ISSN 0302-2838. PMID 23141933.
  20. ^ Tran, Christine N.; Shoskes, Daniel A. (April 12, 2013). "Sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome". World Journal of Urology. 31 (4). Springer Science and Business Media LLC: 741–746. doi:10.1007/s00345-013-1076-5. ISSN 0724-4983. PMID 23579441. S2CID 6525027.
  21. ^ Michael, A. (2000). "Venlafaxine-induced painful ejaculation". British Journal of Psychiatry. 177 (3). Royal College of Psychiatrists: 282–283. doi:10.1192/bjp.177.3.282-b. ISSN 0007-1250. PMID 11040898.
  22. ^ Kulik, F. A.; Wilbur, R. (1982). "Case report of painful ejaculation as a side effect of amoxapine". American Journal of Psychiatry. 139 (2). American Psychiatric Association Publishing: 234–235. doi:10.1176/ajp.139.2.234. ISSN 0002-953X. PMID 7055299.
  23. ^ Grosse, A. B. (1911). "Remarks on Impotentia Cocundi and Sexual Neurasthenia and Their Treatment". California State Journal of Medicine. 9 (1). BMJ Publishing Group: 25–27. PMC 1893601. PMID 18735133.
  24. ^ Edwards, A. (December 11, 1909). "Chronic Disease of the Colliculus Seminalis". BMJ. 2 (2554): 1672–1673. doi:10.1136/bmj.2.2554.1672. ISSN 0959-8138. PMC 2321775. PMID 20764794.
  25. ^ Waqar, Muhammad; Omar, Kawa; Moubasher, Amr; Brunckhorst, Oliver; Ahmed, Kamran (October 30, 2020). "Painful Ejaculation — An Ignored Symptom". Cureus. Cureus, Inc. doi:10.7759/cureus.11253. ISSN 2168-8184. PMC 7707127. PMID 33269171.
  26. ^ Johnson, Christopher W.; Bingham, Jonathan B.; Goluboff, Erik T.; Fisch, Harry (December 20, 2004). "Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms". BJU International. 95 (1). Wiley: 117–119. doi:10.1111/j.1464-410x.2004.05261.x. ISSN 1464-4096. PMID 15638907. S2CID 26723583.
  27. ^ Zaidi, Saher; Gandhi, Jason; Seyam, Omar; Joshi, Gunjan; Waltzer, Wayne C.; Smith, Noel L.; Khan, Sardar Ali (2019). "Etiology, Diagnosis, and Management of Seminal Vesicle Stones". Current Urology. 12 (3). Ovid Technologies (Wolters Kluwer Health): 113–120. doi:10.1159/000489429. ISSN 1661-7649. PMC 6613319. PMID 31316318.

Further reading

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