Urolog. pro Praxi, 2008; 9(5): 231-234

Ejaculatory and orgasmic dysfunction

MUDr. Vladimír Kubíček CSc^1,2

¹ Centrum andrologické péče, České Budějovice, Centrum reprodukční medicíny GEST, Praha

² Centrum andrologické péče, České Budějovice

Premature ejaculation is the commonest cause of the ejaculatory dysfunction. A proportion of men with premature ejaculation have lifelong oversensitivity of the ejaculatory reflex. If there is a lack of external ejaculation one of the first is examination of the postcoital urine for spermatozoa, as this will distinguish between retrograde ejaculation and anejaculation. Poor urine flow and postorgasmic slow seepage of ejaculate are indicators of urethral stricture. Pain with ejaculation can be one of the manifestations of incomplete spinal injury.

Orgasm, like a pain is a sensation and is difficult to categorize objectively. There is an alteration in the quality of the sensation of orgasm after common surgical procedures such as transurethral resection of the prostate. Men about to undergo such procedures need to be made aware of this. Following orgasm, there is an increase in serum prolactin and this relates to the duration of the refractory period and postorgasmic sexual behaviour. Postorgasmic spinal ice-pick pain following partial spinal cord transaction is difficult to treat and if present for 2 years after injury is unlikely to improve.

Keywords: ejaculation, dysfunction

Published: December 20, 2008  Show citation