Male Sexual Pain Disorders: New Approach

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.