Sex after major urologic surgery
Bibliographic Data
| ID | 10205176 |
|---|---|
| Authors | Richard D Amelar (New York University, corresponding author), Lawrence Dubin |
| Year | 1968 |
| Volume | 4 |
| Issue | 4 |
| Pages | 265-274 |
| Publication date | 1968-11-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | The Journal of Sex Research (JOURNAL) |
| Journal identifiers | ISSN: 0022-4499 • E-ISSN: 1559-8519 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/00224496809550582 |
| OpenAlex | W2032662045 |
| Language | EN |
| Citations received | 2 |
| References cited | 4 |
Some patients exaggerate their sexual power before the operation and take refuge in the operation as an excuse for deficient powers thereafter, a loss more frequently attributable to debility or aging. Although some patients claim improved sexual function after prostate surgery by the suprapubic, retropubic or transurethral routes, this must be attributed to improvement in the patient's general condition and not to the operation itself. Figure 1 illustrates the location of the external and internal urethral sphincters in relation to the prostate gland. This will help to understand why, even though potency is maintained, an almost inevitable sequela of all types of prostatectomy is retrograde ejaculation. The ejaculatory ducts and glands of the prostatic cortex open into the cavity of the prostatic urethra midway between the external and internal sphincters. Ordinarily, with ejaculation in the normal male the external sphincter opens or is relaxed, and the internal sphincter is closed and the seminal fluid is projected through the urethra. Following prostatectomy, the internal sphincter has either been completely removed or traumatized, and when ejaculation occurs the seminal fluid flows back into the bladder and is voided with urine at the next micturition. In some patients the ability to ejaculate through the anterior urethra returns later, particularly if the internal sphincter regains part or all of its function. We have on several occasions successfully retrieved motile sperm from the bladder in patients who developed retrograde ejaculation
Gynecology · Medicine · Prostate Cancer Diagnosis and Treatment · Urinary Bladder and Prostate Research · Urological Disorders and Treatments
| Citations per year | 0.04 |
|---|---|
| Citation span | 1973 - 1975 (3) |
| Highly cited | No |