Materials and Methods: After IRB-approval patients who underwent PAE at a single center were interviewed and assessed using the standardized short form of Male Sexual Health Questionnaire related to Ejaculatory Dysfunction (MSHQ-EjD) which evaluates 3 components of ejaculation (ability to, force and volume of ejaculation) and bother associated with EjD. Patients with significant ejaculatory dysfunction prior to PAE, no sexual activity since PAE, and patients who underwent other surgical prostatic procedures were excluded. Results: When rating the ability to ejaculate during sex the majority of patients stated they were able to ejaculate all of the time (21/27, 77.8%). The remainder reported being able to ejaculate most of the time (3/27, 11.1%) or about half of the time (3/27, 11.1%). When evaluating ejaculation strength, the majority reported it was as strong as it always was (17/27, 63%), while the remainder reported that it was a little less strong (6/27, 22.2%), somewhat less strong (1/27, 3.7%) or much less strong than it use to be (3/27, 11.1%). When evaluating the volume of semen most reported that the amount was as much as it always was (18/27, 66.7%), while the remainder reported that it was a little less (3/27, 11.1%), somewhat less (2/27, 7.4%), much less (2/27, 7.4%), or very much less than it used to be (2/27, 7.4%). Finally, when being asked if they were bothered by any ejaculation difficulties the majority said they had no problem with ejaculation (15/27, 55.6%) or were not at all bothered (7/27, 25.9%). While the remainder reported being a little (4/27, 14.8%) or moderately bothered (1/27, 3.7%). When asked 5 (5/27, 18.5%) felt their ejaculation changed for the worse following PAE, while 1 (1/ 27, 3.7%) felt it changed for the better. Conclusions: More data is needed regarding how PAE effects ejaculatory function to allow proceduralists to accurately counsel patients. This study finds that ejaculatory difficulties do occur, but are infrequent, following PAE.
