The prevalence and nature of orgasmic dysfunction after radical prostatectomy
Article first published online: 25 AUG 2004
Volume 94, Issue 4, pages 603–605, September 2004
How to Cite
Barnas, J. L., Pierpaoli, S., Ladd, P., Valenzuela, R., Aviv, N., Parker, M., Waters, W. B., Flanigan, R. C. and Mulhall, J. P. (2004), The prevalence and nature of orgasmic dysfunction after radical prostatectomy. BJU International, 94: 603–605. doi: 10.1111/j.1464-410X.2004.05009.x
- Issue published online: 25 AUG 2004
- Article first published online: 25 AUG 2004
- Accepted for publication 26 May 2004
- radical prostatectomy;
Michael G. Wyllie
Panel of Advisors
Ian Eardley, UK
Jean Fourcroy, USA
Sidney Glina, Brazil
Julia Heiman, USA
Chris McMahon, Australia
Bob Millar, UK
Alvaro Morales, Canada
Michael Perelman, USA
To define the type of orgasmic dysfunction in men after radical prostatectomy (RP), as absence of orgasm and orgasmic pain are recognized complaints, and changes in orgasm may lead to significant sexual dissatisfaction.
PATIENTS AND METHODS
Using an unvalidated questionnaire, demographic, erectile function and orgasmic function questions were answered by 239 patients who had previously undergone a retropubic RP.
Of the 239 patients, 22% had no change in orgasm intensity, 37% reported a complete absence of orgasm, 37% had decreased orgasm intensity and 4% reported a more intense orgasm after RP than before. Pain during orgasm (dysorgasmia) occurred in 14% of the patients; in these respondents the pain reportedly occurred always (with every orgasm) in 33%, frequently in 13%, occasionally in 35%, and rarely in 19%. Most patients (55%) had orgasm-associated pain for <1 min.
These results indicate that orgasmic functional changes are relatively common after RP and are worth considering by clinicians and researchers.