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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Article
Male Sexual Pain Disorders: New Approach
Author(s)
Giorgio Del Noce1, 2, Vilma Duretto2, Rosa Bochicchio2, Francesca Ragni3 and Giovanni Cociglio2
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DOI:10.17265/2328-7136/2017.04.002
Affiliation(s)
1. Promea Day Surgery-14, via Menabrea-Turin 10126, Italy
2. SSSC (Scuola Superiore di Sessuologia Clinica), Turin 10128, Italy
3. Department of Urology, University of Turin School of Medicine 10043, Italy
ABSTRACT
There are several kinds of
male genital pain which can cause mental suffering. Usually, they emerge during
ordinary urological or andrological examinations. These distresses,
sine materia, can be divided into different types. The first type,
that is the most frequent one, mainly affects the testicles; usually, this kind
of distress lasts a lifetime and it is often associated with surgery and/or
frequent examinations to the genitals during childhood. The second type
encompasses cases of real penodynia:
the patients express their discomfort especially uncovering the glans and, for this reason,
this action is never done. This distress is not always referred to as pain, but
more often as “bothersome”. Sexual intercourses are permitted. Often the
patients undergo a circumcision that usually has a complicated postoperative
course. The males of the third type correspond to the women suffering from “vaginismus”. The patients do not
even tolerate the approach of the hand to the penis and they make the same
actions and the same movements as the vaginismic women. The patients are unable to have sex. This phenomenon is rare. The fourth
type is numerous and may be defined as a real male Dyspareunia. The patients complain pain during
sexual intercourse and, above all, during ejaculation. The symptom is felt in
pelvic-perineum area and it is often diagnosed asprostatitis, but in reality no
organic therapy is effective at all. Some clinical cases will be presented and
discussed.
KEYWORDS
Male genital pain, penodynia, chronic prostatitis, chronic pelvic pain syndrome, cronic scrotal pain syndrome, circumcision.
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