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2018 ; 7
(Suppl 1
): S23-S28
Nephropedia Template TP
gab.com Text
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English Wikipedia
Chronic scrotal pain may lead to reduced sexual function and interest, while
sexual activity may worsen chronic scrotal pain: "double jeopardy"
#MMPMID29644167
Aljumaily A
; Al-Khazraji HAJ
; Gordon A
; Lau S
; Jarvi KA
Transl Androl Urol
2018[Mar]; 7
(Suppl 1
): S23-S28
PMID29644167
show ga
BACKGROUND: While it is recognized that chronic pain may adversely impact sexual
function and activity in men and we also recognize that sexual activity may
worsen the pain for men with chronic scrotal pain (CSP), the effect on sexual
functioning and conversely the impact of sex on CSP has not previously been
documented. METHODS: Retrospective analysis of a prospectively collected
database. RESULTS: From Feb 2014 to Sep 2015, a total of 128 men presenting for
assessment of CSP completed all or parts of a standardized questionnaire. Overall
60% (69/116) of the men felt that the CSP had kept them either a "lot" or "some"
of the time from sexual activity and 64% (27/43) had evidence of decreased
erectile performance. Those with more severe pain (analog pain scores 7-10/10)
had more significant sexual dysfunction than those with less severe pain, with
54% (45/83) vs. 0% (0/33, P<0.01: Fisher's exact test) noting that the pain kept
them from sexual activity "a lot" and 70% (23/33) vs. 40% (4/10, P<0.01) noting
sexual dysfunction. Diminished libido was also common in the men [43% (55/128)]
as were the symptoms of testosterone deficiency [76% (97/128)]. Conversely,
sexual activity often exacerbated the pain, with 37% (47/128) finding that
ejaculation aggravated their pain and another 38% (48/128) patients found sexual
activity aggravated their pain. CONCLUSIONS: Men with severe CSP have
significantly reduced sexual function and interest compared to men with moderate
or minor levels of pain. The majority of men with CSP who were sexually active
were faced with worsening pain with sex and ejaculation. Clinicians should be
aware of the twin risks of sexual dysfunction occurring in men with CSP and
sexual activity worsening the severity of the CSP.