PD21-01 EFFICACY OF TAMSULOSIN FOR THE MANAGEMENT OF PAINFUL ORGASM AFTER RADICAL PROSTATECTOMY: A PROSPECTIVE, NON-PLACEBO CONTROLLED STUDY

Abstract

INTRODUCTION AND OBJECTIVES:In contrast to the large number of studies on erectile dysfunction after prostatectomy, research on orgasmic dysfunction has been limited. Painful orgasm is a form of ejaculatory dysfunction that can occur after prostatectomy. Although the incidence is not high, it can affect quality of life. Furthermore, the causes of and treatments for painful orgasm have not been clarified. In this study, we evaluated the efficacy of a selective alpha-blockade, tamsulosin, on post-prostatectomy painful orgasm.METHODS:We studied 90 patients with painful orgasm who underwent nerve sparing radical prostatectomy with prostate cancer. Patients were prescribed tamsulosin 0.2 mg daily for a total of 8 weeks. Primary outcomes were changes in scores for pain after treatment using a visual analog scale (VAS) and Global Assessment Questionnaire (GAQ) scores. We also identified the pain site and the reported time between ejaculation and onset of pain. We compared the results between groups of patients w...