Alexander Shulyak, Alexander Borzhievsky, Dmytro Vorobets
- Danylo Halytskyi Lviv National Medical University, Department of Urology, Lviv, Ukraine
- Introduction. Orgasm-associated pain is a very infrequent but very distressing problem. Till now we don't exactly know the etiologic factor, but the role of bladder neck or pelvic floor spasms are reported. This investigation aimed to assess the influence of -blocker, tamsulosin on the post-orgasmic pain.
- Methods. In a prospective, non-placebo controlled study patients with orgasmic pains were prescribed tamsulosin 0.4 mg/day for at least 4 weeks. Outcome assessment included libido, character and continence of pains according to the VAS scale, erectile function according to the IIEF scale and also using the incontinence scale pre- and post-treatment respectively. For statis-tical analysis patients were divided into the three groups according to the etiologic factors (radi-cal prostatectomy, radiation therapy and other).
- Results. 56 patients were investigated. Pain was predominantly located in the penis (37 (66%) patients), and also in the other organs - testis, rectum and abdomen. Most of them [29 (51.8%) patients] feel pain during 5 minutes after orgasm. 45 (80.4%) patients reported signifi-cant decrease in pain (ł2 points according to VAS), and 9 (16%) patients noted the complete resolution of pain. After tamsulosin treatment VAS scale for pain reflected the statistically sig-nificant decrease of pain in all groups of patients. Totally, all groups noted the decrease of pain for VAS on 2.6 points after treatment. The IIEF libido increased in all groups (mean 2.2 points).
- Conclusion. Use of tamsulosin leads to the decrease of intensity of orgasm-associated pain. The received data support the hypothesis that orgasmic pains are related to the bladder neck or pelvic floor muscle spasms.