Painful orgasm in an adolescent after seminal-sparing cystoprostatectomy: a puzzling symptom.
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.
Section of Pediatric Urology, Urology Unit, University Hospital of Padova, Padua, Italy.
Lorenzo
L
Angelini
Marco
M
Castagnetti
Waifro
W
Rigamonti
D000293:Adolescent; D000317:Adrenergic alpha-Antagonists / Q000737:chemistry; D015653:Cystectomy / Q000379:methods; D006801:Humans; D008297:Male; D009948:Orgasm; D010146:Pain; D011468:Prostatectomy / Q000009:adverse effects*; D012208:Rhabdomyosarcoma / Q000150:complications / Q000601:surgery*; D012669:Seminal Vesicles / Q000473:pathology; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000601:surgery*; D014547:Urinary Diversion; D014563:Urodynamics; D014649:Vas Deferens / Q000601:surgery
D000317:Adrenergic alpha-Antagonists