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Painful ejaculation.

Cristian P Ilie¹, Dan L Mischianu, Richard J Pemberton

¹Department of Urology, Central Clinical Emergency Military Hospital, Bucharest, Romania. cristi2575@yahoo.com

BJU International

|March 10, 2007

Summary

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Post-orgasmic pain affects 1-9.7% of men and is linked to various conditions. Treatment ranges from self-care to surgery, but more research is needed.

Area of Science:

Urology
Sexual Medicine
Pain Management

Background:

Post-orgasmic pain, also known as painful ejaculation, is a recognized but often under-reported condition.
Existing literature presents heterogeneous findings regarding its prevalence, epidemiology, and management.

Purpose of the Study:

To provide a comprehensive review of the current literature on post-orgasmic pain.
To update information on prevalence, epidemiology, and treatment options for this condition.

Main Methods:

Systematic literature search of Ovid and PubMed databases (updated May 2006).
Inclusion of peer-reviewed English-language articles and scientific society proceedings.
Data analysis without meta-analysis due to study heterogeneity.

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Main Results:

Incidence of post-orgasmic pain reported as 1-9.7%.
Associated conditions include prostatitis, chronic pelvic pain syndrome, benign prostatic hyperplasia, and ejaculatory duct obstruction.
Treatment modalities encompass conservative measures, pharmacotherapy (e.g., topiramate), and surgical interventions.

Conclusions:

Post-orgasmic pain has a notable incidence and is associated with several urological and neurological conditions.
A wide spectrum of treatments exists, highlighting the complexity of managing this pain.
There is a critical need for high-quality, prospective randomized trials to elucidate etiology and optimize treatment strategies.