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How Pain Influences Sexuality in Men

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Chronic Pelvic Pain and Pelvic Dysfunctions

Abstract

Male dyspareunia is defined as pain associated with sexual intercourse. Sexual function is regarded by many men as a vital and critical part of their overall health and wellness (Cohen et al. Sex Med Rev 4:53–62, 2016). Therefore, male dyspareunia can have a significant impact of patient’s quality of life and relationship. There are several causes of male dyspareunia. Different pelvic floor dysfunctions could lead to dyspareunia; thus, a clear diagnosis and subsequent proper management appear difficult. Many causes of male dyspareunia exist and a multimodal approach to this condition appears of utmost importance.

This chapter will focus on epidemiology, aetiology, diagnosis and management of male dyspareunia.

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References

  1. Cohen D, Gonzalez J, Goldstein I. The role of pelvic floor muscles in male sexual dysfunction and pelvic pain. Sex Med Rev. 2016;4:53–62.

    Article  Google Scholar 

  2. Luzzi G, Law L. A guide to sexual pain in men. Practitioner. 2005;249:73, 75, 77 passim

    PubMed  Google Scholar 

  3. Malykhina AP. Neural mechanisms of pelvic organ cross-sensitization. Neuroscience. 2007;149:660–72.

    Article  CAS  Google Scholar 

  4. Doggweiler R, Whitmore KE, Meijlink JM, et al. A standard for terminology in chronic pelvic pain syndromes: a report from the chronic pelvic pain working group of the international continence society. Neurourol Urodyn. 2017;36:984–1008.

    Article  Google Scholar 

  5. Bancroft J. Clinical trials and human sexuality: basic concepts and problems. Int J Impot Res. 1998;10(Suppl 2):S4–6; discussion S24-6

    PubMed  Google Scholar 

  6. Smith JF, Walsh TJ, Turek PJ. Ejaculatory duct obstruction. Urol Clin North Am. 2008;35:221–7, viii

    Article  Google Scholar 

  7. Byrne LN, Meacham RB. Management of post-ejaculatory perineal pain. J Androl. 2006;27:710–1.

    Article  Google Scholar 

  8. Frey AU, Sønksen J, Fode M. Neglected side effects after radical prostatectomy: a systematic review. J Sex Med. 2014;11:374–85.

    Article  Google Scholar 

  9. Salonia A, Burnett AL, Graefen M, Hatzimouratidis K, Montorsi F, Mulhall JP, Stief C. Prevention and management of postprostatectomy sexual dysfunctions part 2: recovery and preservation of erectile function, sexual desire, and orgasmic function. Eur Urol. 2012;62:273–86.

    Article  Google Scholar 

  10. Capogrosso P, Ventimiglia E, Cazzaniga W, Montorsi F, Salonia A. Orgasmic dysfunction after radical prostatectomy. World J Mens Health. 2017;35:1–13.

    Article  Google Scholar 

  11. Barnas J, Parker M, Guhring P, Mulhall JP. The utility of tamsulosin in the management of orgasm-associated pain: a pilot analysis. Eur Urol. 2005;47:361–5. discussion 365

    Article  CAS  Google Scholar 

  12. Engeler DS, Baranowski AP, Dinis-Oliveira P, Elneil S, Hughes J, Messelink EJ, van Ophoven A, Williams AC. The 2013 EAU guidelines on chronic pelvic pain: is management of chronic pelvic pain a habit, a philosophy, or a science? 10 years of development. Eur Urol. 2013;64:431–9.

    Article  Google Scholar 

  13. Magistro G, Wagenlehner FME, Grabe M, Weidner W, Stief CG, Nickel JC. Contemporary management of chronic prostatitis/chronic pelvic pain syndrome. Eur Urol. 2016;69:286–97.

    Article  Google Scholar 

  14. Aubin S, Berger RE, Heiman JR, Ciol MA. The association between sexual function, pain, and psychological adaptation of men diagnosed with chronic pelvic pain syndrome type III. J Sex Med. 2008;5:657–67.

    Article  Google Scholar 

  15. Mulhall JP, Creech SD, Boorjian SA, Ghaly S, Kim ED, Moty A, Davis R, Hellstrom W. Subjective and objective analysis of the prevalence of Peyronie’s disease in a population of men presenting for prostate cancer screening. J Urol. 2004;171:2350–3.

    Article  Google Scholar 

  16. Basson R, Weijmar Schultz W. Sexual sequelae of general medical disorders. Lancet. 2007;369:409–24.

    Article  Google Scholar 

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Correspondence to Manuela Tutolo .

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Tutolo, M., Salonia, A. (2021). How Pain Influences Sexuality in Men. In: Giammò, A., Biroli, A. (eds) Chronic Pelvic Pain and Pelvic Dysfunctions. Urodynamics, Neurourology and Pelvic Floor Dysfunctions. Springer, Cham. https://doi.org/10.1007/978-3-030-56387-5_13

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  • DOI: https://doi.org/10.1007/978-3-030-56387-5_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-56386-8

  • Online ISBN: 978-3-030-56387-5

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