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Éjaculation douloureuse

Painful ejaculation

  • Dossier Thématique / Thematic File
  • Published:
Pelvi-périnéologie

Résumé

Les douleurs éjaculatoires et les douleurs postorgasmiques sont fréquentes. Elles touchent près de 60 % des patients dans le cadre de pathologies spécifiques (prostatite chronique, syndrome douloureux pelvien chronique) mais sont aussi signalées chez 1 à 10 % des sujets témoins. Ces douleurs entrent dans le cadre des dysfonctions sexuelles et altèrent significativement la qualité de vie des hommes qui en souffrent, pouvant même conduire à l’abstinence sexuelle. Leur physiopathologie et étiopathogénie restent à ce jour encore discutées. Un traitement de première intention par alphabloquants est souvent préconisé bien qu’aucune étude randomisée, contrôlée, ne soit disponible.

Abstract

Painful ejaculation and postorgasmic pain occur frequently. Painful ejaculation is reported by 60% of patients with prostatitis and chronic pelvic pain syndrome as well as 1% to 10% of control populations. It is one of the major symptoms of sexual dysfunction, can alter overall quality of life and can lead to sexual abstinence. We discuss the physiopathology of painful ejaculation. Alpha-blockers are often recommended as first-line treatment for this symptom, although they has not been well evaluated.

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Authors and Affiliations

  1. Service de rééducation neurologique et d’explorations périnéales, hôpital Rothschild, 33 boulevard de Picpus, F-75571, Paris cedex 12, France

    P. Lacroix, K. Hubeaux, P. Raibaut & G. Amarenco

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  1. P. Lacroix
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  2. K. Hubeaux
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  3. P. Raibaut
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  4. G. Amarenco
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Correspondence to G. Amarenco.

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Lacroix, P., Hubeaux, K., Raibaut, P. et al. Éjaculation douloureuse. Pelv Perineol 2, 356–359 (2007). https://doi.org/10.1007/s11608-007-0166-5

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  • DOI: https://doi.org/10.1007/s11608-007-0166-5

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