title: [Rehabilitation for intravaginal ejaculatory dysfunction with using a masturbation aid].
abstract: OBJECTIVE
  Recently the incidence of intravaginal ejaculatory dysfunction is increasing among infertile couples in Japan. Some unusual ways of masturbation and psychogenic issues were reported to cause this disorder. Patients, who had done masturbation in an unusual way for long time since their adolescence, were difficult to gain normal intravaginal ejaculation by the behavior therapy which was used for erectile dysfunction. We, therefore, used a masturbation aid (TENGA) for rehabilitation of ejaculation to overcome this condition.
  
  
  METHODS
  From January, 2010 through March, 2011, a total of 16 patients with intravaginal ejaculatory dysfunction underwent rehabilitation of ejaculation using TENGA. Patients' satisfaction and achievement of intravaginal ejaculation were evaluated by the questionnaire.
  
  
  RESULTS
  Twelve patients (75%) could ejaculate in the masturbation aid (TENGA). Five patients (31%) succeeded to ejaculate in the partner's vagina after rehabilitation.
  
  
  CONCLUSIONS
  A masturbation aid (TENGA) was a useful tool to correct the way of masturbation and achieve normal intravaginal ejaculation. This masturbation aid can be one of the effective options for the treatment of intravaginal ejaculatory dysfunction.
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital.
authors.forename: Yoshitomo
authors.initials: Y
authors.lastname: Kobori
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Aoki
authors.forename: Koujiro
authors.initials: K
authors.lastname: Nishio
authors.forename: Ryo
authors.initials: R
authors.lastname: Sato
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Ashizawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yagi
authors.forename: Shigehiro
authors.initials: S
authors.lastname: So
authors.forename: Gaku
authors.initials: G
authors.lastname: Arai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okada
mesh_terms: D000328:Adult; D004542:Ejaculation; D006801:Humans; D008297:Male; D008418:Masturbation; D008875:Middle Aged; D012735:Sexual Dysfunction, Physiological / Q000534:rehabilitation*