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Premature Emission After Spinal Cord Injury

1995; Lippincott Williams & Wilkins; Volume: 153; Issue: 2 Linguagem: Inglês

10.1097/00005392-199502000-00045

1527-3792

Christian S. Kuhr, Julia R. Heiman, Diana Cárdenas, William Bradley, Richard E. Berger,

Spinal Cord Injury Research

No AccessJournal of UrologyClinical Urology: Case Report1 Feb 1995Premature Emission After Spinal Cord Injury Christian S. Kuhr, Julia Heiman, Diana Cardenas, William Bradley, and Richard E. Berger Christian S. KuhrChristian S. Kuhr , Julia HeimanJulia Heiman , Diana CardenasDiana Cardenas , William BradleyWilliam Bradley , and Richard E. BergerRichard E. Berger View All Author Informationhttps://doi.org/10.1097/00005392-199502000-00045AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Physicians and psychologists almost always treat premature emission or ejaculation as a psychological problem. We report on 6 men who had sudden onset of severe premature emission after spinal cord injury. All men suffered spinal cord injury related to trauma at the T12-L1 level, and had areflexic bladders after the injury. Two men had normal penile sensation. None of the men had premature ejaculation before injury with average time of intercourse of 10 to 20 minutes before orgasm. After the injury they noticed emission before or at vaginal entry. Two patients reported emission with any sexual thoughts and 1 had emission when startled in a nonsexual manner. Sexual therapy using squeeze and stop/start techniques was unsuccessful in all cases. Patients were started on phenoxybenzamine, terazosin or prazosin and reported slight improvement. We believe that injury in the conus area of the spinal cord may disinhibit the ejaculatory mechanism and allow for premature emission. References 1 : Frequency of sexual dysfunction in 'norma' couples. New Engl. J. Med.1978; 299: 111. Google Scholar 2 : Autonomic innervation of the urogenital system: adrenergic and cholinergic elements. Brain Res. Bull.1982; 9: 679. Google Scholar 3 : Premature ejaculation treated by the dual sex team method of Masters and Johnson. Aust. New Zeal. J. Psychiatry1973; 7: 200. Google Scholar 4 : A comparative study of coital physiology, with special reference to the sexual climax. J. Reprod. Fertil.1971; 24: 319. Google Scholar 5 : Premature ejaculation: a review of 1130 cases. J. Urol.1943; 50: 374. Abstract, Google Scholar 6 : Premature ejaculation: new electrophysiologic approach. Urology1978; 11: 81. Google Scholar 7 : Sexual dysfunction and electroejaculation in men with spinal cord injury: review. J. Urol.1988; 139: 453. Link, Google Scholar 8 : Anatomy and physiology: autonomic and peripheral innervation. In: Sexual Dysfunction in Neurologic Disorders. Diagnosis, Management and Rehabilitation. New York: Raven Press1982: 14. Google Scholar 9 : Sexual response in spinal cord injured adults: a review of the literature. Arch. Sex. Behav.1979; 8: 173. Google Scholar 10 : Composition of the pelvic nerve. Exp. Neurol.1986; 92: 278. Google Scholar 11 : Changes in sexual function following operation on the abdominal aorta. Surgery1969; 65: 41. Google Scholar 12 : Peripheral nerves controlling the closure of internal urethral orifice during ejaculation. Urol. Int.1975; 30: 218. Google Scholar 13 : Effects of pelvic nerve and pudendal nerve transection on mating behavior in the male rat. Physiol. Behav.1976; 16: 745. Google Scholar 14 : Evoked sacral potentials in subjects with true premature ejaculation. Andrologia1986; 18: 583. Google Scholar 15 : Secondary premature ejaculation. Aust. New Zeal. J. Psychiatry1984; 18: 333. Google Scholar 16 : Preliminary analysis of functions of the temporal lobes in monkeys. Arch. Neurol. Psychol.1939; 42: 979. Google Scholar 17 : Stimulation of dopamine autoreceptors elicits 'premature ejaculation' in rats. Pharmacol. Biochem. Behav.1984; 20: 69. Google Scholar 18 : Electroejaculation: its technique, neurological implications and uses. J. Neurol. Neurosurg. Psychiatry1981; 44: 9. Google Scholar 19 : Clinical and therapeutic studies in premature ejaculation. Compr. Psychiatry1969; 10: 285. Google Scholar 20 : The use of phenoxybenzamine treatment in premature ejaculation. Fertil. Steril.1984; 42: 659. Google Scholar 21 : Cerebral and hormonal control of reflexive mechanisms involved in copulatory behavior. Phys. Rev.1967; 47: 289. Google Scholar 22 : Sexual reflexes and mating behavior in the male rat. J. Comp. Physiol. Psychol.1968; 65: 453. Google Scholar 23 : Penile erection and contraction of penile muscles in the spinal and intact dog. Amer. J. Physiol.1966; 210: 257. Google Scholar From the Departments of Urology, Neurology, Psychiatry and Rehabilitation Medicine, University of Washington Medical Center, Seattle, Washington© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 153Issue 2February 1995Page: 429-431 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Christian S. Kuhr More articles by this author Julia Heiman More articles by this author Diana Cardenas More articles by this author William Bradley More articles by this author Richard E. Berger More articles by this author Expand All Advertisement PDF downloadLoading ...