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Is pudendal nerve entrapment a potential cause for weak ejaculation?

International Journal of Impotence Research volume 34, pages 520–523 (2022)Cite this article

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Abstract

Ejaculatory dysfunction is one of the most common complaints of patients with sexual disorders. While it encompasses several ejaculatory disorders, weak ejaculation is seldom described in the literature. Since the pudendal nerve is the main nerve of ejaculation, we aim to hypothesize that pudendal nerve entrapment could be a cause of weak ejaculation, and that pudendal nerve release could contribute to the improvement of the ejaculatory stream. We presented two cases suffering from a weak ejaculatory stream and sensation of incomplete semen emptying, accompanied with clinical features of pudendal nerve entrapment. Both cases improved after pudendal nerve block and then laparoscopic transperitoneal pudendal release, with a sustained amelioration of the ejaculatory stream after 3 weeks of surgery. Pudendal canal entrapment is therefore a potentially curable cause for weak ejaculation.

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Authors and Affiliations

  1. Department of Urology, Hotel-Dieu de France, Beirut, Lebanon

    Fouad Aoun, Georges Mjaess, Eddy Lilly, Nour Khalil, Georges Abi Tayeh, Julien Sarkis, Raymond Mansour, Marwan Alkassis & Roy Chebel

  2. Department of Urology, Institut Jules Bordet, Brussels, Belgium

    Fouad Aoun

  3. Department of Gynecology, EpiCura Hospital, Ath, Belgium

    Fabienne Absil

  4. Department of Urology, Wallonie Picarde Hospital, Tournai, Belgium

    Renaud Bollens

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  1. Fouad Aoun
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  2. Georges Mjaess
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  3. Eddy Lilly
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  4. Nour Khalil
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  5. Georges Abi Tayeh
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  6. Julien Sarkis
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  7. Raymond Mansour
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  8. Marwan Alkassis
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  9. Roy Chebel
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  10. Fabienne Absil
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  11. Renaud Bollens
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Correspondence to Fouad Aoun.

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Aoun, F., Mjaess, G., Lilly, E. et al. Is pudendal nerve entrapment a potential cause for weak ejaculation?. Int J Impot Res 34, 520–523 (2022). https://doi.org/10.1038/s41443-021-00443-6

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  • DOI: https://doi.org/10.1038/s41443-021-00443-6

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