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Is pudendal nerve entrapment a potential cause for weak ejaculation?

Fouad Aoun1,2, Georges Mjaess3, Eddy Lilly3

  • 1Department of Urology, Hotel-Dieu de France, Beirut, Lebanon. fouad.aoun@bordet.be.

International Journal of Impotence Research
|May 11, 2021
PubMed
Summary
This summary is machine-generated.

Pudendal nerve entrapment may cause weak ejaculation. Surgical release of the pudendal nerve (PN) can improve ejaculatory function and semen emptying sensation in affected individuals.

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Area of Science:

  • Urology
  • Sexual Medicine
  • Surgical Neurology

Background:

  • Ejaculatory dysfunction is a common sexual disorder complaint.
  • Weak ejaculation is infrequently documented, despite its impact on sexual health.
  • The pudendal nerve (PN) is crucial for normal ejaculation.

Purpose of the Study:

  • To investigate pudendal nerve entrapment (PNE) as a potential cause of weak ejaculation.
  • To evaluate the efficacy of pudendal nerve release surgery in improving ejaculatory function.

Main Methods:

  • Case study of two patients presenting with weak ejaculation and incomplete semen emptying.
  • Clinical assessment for signs of pudendal nerve entrapment.
  • Pudendal nerve block followed by laparoscopic transperitoneal pudendal release.

Main Results:

  • Both patients exhibited clinical features consistent with pudendal nerve entrapment.
  • Pudendal nerve block provided temporary relief.
  • Laparoscopic pudendal release resulted in sustained improvement of the ejaculatory stream within 3 weeks.

Conclusions:

  • Pudendal nerve entrapment is a potential, treatable cause of weak ejaculation.
  • Surgical decompression of the pudendal nerve offers a viable therapeutic option for improving ejaculatory function.