Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case study
Anejaculation is the inability to ejaculate during sexual activity, either in an antegrade or retrograde fashion. Both anejaculation following an iatrogenic injury of the abdominal aorta and the efficacy of low-frequency neuromuscular electrical stimulation (NMES) in treating anejaculation have b...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MRE Press
2023-10-01
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| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://oss.jomh.org/files/article/20230928-100/pdf/JOMH2023022002.pdf |
| _version_ | 1797370249587195904 |
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| author | Kefan Li Qi Zhang Ziheng Li Qiang Fu Shuai Liu |
| author_facet | Kefan Li Qi Zhang Ziheng Li Qiang Fu Shuai Liu |
| author_sort | Kefan Li |
| collection | DOAJ |
| description | Anejaculation is the inability to ejaculate during sexual activity, either in an
antegrade or retrograde fashion. Both anejaculation following an iatrogenic
injury of the abdominal aorta and the efficacy of low-frequency neuromuscular
electrical stimulation (NMES) in treating anejaculation have been reported
rarely. In this case report, we describe a patient who experienced anejaculation
following an iatrogenic injury to the abdominal aorta and eventually regained
normal ejaculation ability following treatment with NMES. The patient, a
23-year-old Chinese man, underwent laparoscopic varicocele ligation on both
sides, during which he sustained a ruptured wound in the abdominal aorta from a
10-mm trocar. To stop the bleeding, he underwent abdominal aortic balloon
catheter dilatation combined with covered stent implantation. However, 10 days
after the endovascular interventions, the patient developed hemorrhagic shock and
underwent emergency exploratory laparotomy and adventitial suture of the
abdominal aorta. Despite normal erectile function since a week after the last
surgery, the patient complained of aejaculation for a year during intercourse or
masturbation. After receiving NMES treatment for over two months, the patient
reported successful intravaginal ejaculation during intercourse, and the
improvement persisted for a month after treatment. Altogether, these findings
suggest that NMES could be a feasible, safe, and cost-effective treatment method
for improving anejaculation and provides a novel option for patients with this
condition. |
| first_indexed | 2024-03-08T17:59:37Z |
| format | Article |
| id | doaj.art-d440ee514c284589abecf0153427451d |
| institution | Directory Open Access Journal |
| issn | 1875-6867 1875-6859 |
| language | English |
| last_indexed | 2024-03-08T17:59:37Z |
| publishDate | 2023-10-01 |
| publisher | MRE Press |
| record_format | Article |
| series | Journal of Men's Health |
| spelling | doaj.art-d440ee514c284589abecf0153427451d2024-01-02T03:09:00ZengMRE PressJournal of Men's Health1875-68671875-68592023-10-01191012713110.22514/jomh.2023.107S1875-6867(23)00076-3Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case studyKefan Li0Qi Zhang1Ziheng Li2Qiang Fu3Shuai Liu4Department of urology, Shandong Provincial Hospital, Shandong University, 250021 Jinan, Shandong, ChinaDepartment of urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021 Jinan, Shandong, ChinaSecond Department of Surgery, Shandong Rongjun General Hospital, 250014 Jinan, Shandong, ChinaDepartment of urology, Shandong Provincial Hospital, Shandong University, 250021 Jinan, Shandong, ChinaDepartment of urology, Shandong Provincial Hospital, Shandong University, 250021 Jinan, Shandong, ChinaAnejaculation is the inability to ejaculate during sexual activity, either in an antegrade or retrograde fashion. Both anejaculation following an iatrogenic injury of the abdominal aorta and the efficacy of low-frequency neuromuscular electrical stimulation (NMES) in treating anejaculation have been reported rarely. In this case report, we describe a patient who experienced anejaculation following an iatrogenic injury to the abdominal aorta and eventually regained normal ejaculation ability following treatment with NMES. The patient, a 23-year-old Chinese man, underwent laparoscopic varicocele ligation on both sides, during which he sustained a ruptured wound in the abdominal aorta from a 10-mm trocar. To stop the bleeding, he underwent abdominal aortic balloon catheter dilatation combined with covered stent implantation. However, 10 days after the endovascular interventions, the patient developed hemorrhagic shock and underwent emergency exploratory laparotomy and adventitial suture of the abdominal aorta. Despite normal erectile function since a week after the last surgery, the patient complained of aejaculation for a year during intercourse or masturbation. After receiving NMES treatment for over two months, the patient reported successful intravaginal ejaculation during intercourse, and the improvement persisted for a month after treatment. Altogether, these findings suggest that NMES could be a feasible, safe, and cost-effective treatment method for improving anejaculation and provides a novel option for patients with this condition.https://oss.jomh.org/files/article/20230928-100/pdf/JOMH2023022002.pdfanejaculationneuromuscular electrical stimulationiatrogenic injuryabdominal aortacase report |
| spellingShingle | Kefan Li Qi Zhang Ziheng Li Qiang Fu Shuai Liu Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case study Journal of Men's Health anejaculation neuromuscular electrical stimulation iatrogenic injury abdominal aorta case report |
| title | Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case study |
| title_full | Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case study |
| title_fullStr | Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case study |
| title_full_unstemmed | Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case study |
| title_short | Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case study |
| title_sort | low frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta a case study |
| topic | anejaculation neuromuscular electrical stimulation iatrogenic injury abdominal aorta case report |
| url | https://oss.jomh.org/files/article/20230928-100/pdf/JOMH2023022002.pdf |
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