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Urol Int. 2015;94(3):366-8. doi: 10.1159/000354404. Epub 2014 Jan 24.

Painful orgasm in an adolescent after seminal-sparing cystoprostatectomy: a puzzling symptom.

Author information

1
Section of Pediatric Urology, Urology Unit, University Hospital of Padova, Padua, Italy.

Abstract

An 18-year-old boy, followed up after seminal-sparing cystectomy for bladder rhabdomyosarcoma, presented complaining of recurrent episodes of left scrotal/inguinal pain arising after orgasms. Full work-up ruled out disease recurrence, but showed enlarged seminal vesicles. Ligation of the vas deferens was unsuccessful. The patient was started on α-blockers to reduce vas contractions with improvement of symptoms. The possible pathophysiology and treatments of this symptom are discussed.

PMID:
24480978
DOI:
10.1159/000354404
[Indexed for MEDLINE]

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