Orgasmic Pain and a Detectable PSA Level after Radical Prostatectomy

[摘要] Sexual dysfunction after radical prostatectomy occurs commonly, even with the nerve-sparing technique. After the surgery, many men have difficulty obtaining and maintaining an erection sufficient for intercourse, and most of the literature focuses on the prevention or treatment of this outcome. But what happens to orgasm, which is arguably even more important to most men than erection? There is very little discussion in the urologic literature about this problem. It is well understood that concomitant surgical removal of the seminal vesicles along with the prostate produces a “dry” orgasm and that most men retain the ability to achieve a sexual climax, yet most urologists likely spend little time explaining this to patients preoperatively. Fewer still are aware that other significant adverse effects of radical prostatectomy on sexual function are possible. The following case illustrates the importance of this.

[学科分类] 基础医学