Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
147 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

I'm a 70 year old male with TM paralyzed waist

Answered by
Dr.
Dr. Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 6502 Questions

default
Posted on Mon, 1 Apr 2019 in Urinary and Bladder Problems
Question: I'm a 70 year old male with TM paralyzed waist down Having both colostomy bag as well as catheter and collection bag. I experienced I had an ejaculation and semen coagulated with the urine also almost immediately I dispelled semen orally, I'm a serious person and this is not a joke. Please respond, this happened several hour ago and I'm still having ejaculation sensations to the point it's a bit painful and worry-some.



default
Follow up: Dr. Albana Sejdini 0 minute later
I'm a 70 year old male with TM paralyzed waist down Having both colostomy bag as well as catheter and collection bag. I experienced I had an ejaculation and semen coagulated with the urine also almost immediately I dispelled semen orally, I'm a serious person and this is not a joke. Please respond, this happened several hour ago and I'm still having ejaculation sensations to the point it's a bit painful and worry-some.



doctor
Answered by Dr. Albana Sejdini 6 hours later
Brief Answer:
Should consult with your doctor immediately or go to ER

Detailed Answer:
Hello

I am sorry for the health problems you are going through.

Our patients'concerns have high priority, and we do strive to give the best advice when assisting through the process. We can't joke on that.

Now turning to your problem, taking into account your personal history of TM paralysis from waist and down, I can say that in such cases it's normal to have involuntary ejaculation.

Sometimes they are painful. Mostly are retrograde, means semen is flowing back to bladder instead of coming out. And it can commonly contain blood clots (hematuria).

Usually, neurologist would have advised what to do in case of painful ejaculation. As this has not stopped then should call your caring doctor, you might need prescription meds. Usually we do advise patients to keep some meds and use when having such episodes.

I think you should call your doctor. If cannot manage to reach him, then go to ER.

All the best. Do write me back if you have any other concern.
Dr.Albana Sejdini
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Albana Sejdini 0 minute later
Brief Answer:
Should consult with your doctor immediately or go to ER

Detailed Answer:
Hello

I am sorry for the health problems you are going through.

Our patients'concerns have high priority, and we do strive to give the best advice when assisting through the process. We can't joke on that.

Now turning to your problem, taking into account your personal history of TM paralysis from waist and down, I can say that in such cases it's normal to have involuntary ejaculation.

Sometimes they are painful. Mostly are retrograde, means semen is flowing back to bladder instead of coming out. And it can commonly contain blood clots (hematuria).

Usually, neurologist would have advised what to do in case of painful ejaculation. As this has not stopped then should call your caring doctor, you might need prescription meds. Usually we do advise patients to keep some meds and use when having such episodes.

I think you should call your doctor. If cannot manage to reach him, then go to ER.

All the best. Do write me back if you have any other concern.
Dr.Albana Sejdini
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Albana Sejdini 42 hours later
Thanks for your reply. To further explain the ejaculation wasn't in- voluntary my paralysis was (Thawing out) leaving my core area but not my legs and feet. I just got mentally aroused and manipulated myself to ejaculation I just don't under stand about orally coughing up some of the discharge. There was no stomach contents expelled with the semen. In addition I have been in a state of almost constant climax all the time to the point of more than casual concern. However it's not normal I'm concerned about the oral dispelling, only happened once and as to going to the ER I'm in live in a long term skilled nursing facility and more than just a little embarrassed to come forward. Staying always in a state of excitement with what is obvious to me my catheter line visually shows (at least to me) the discharge. Do you believe my condition could really be harmful? Only thee nerves being overly stimulated by the Transverse Myeilitis.
default
Follow up: Dr. Albana Sejdini 0 minute later
Thanks for your reply. To further explain the ejaculation wasn't in- voluntary my paralysis was (Thawing out) leaving my core area but not my legs and feet. I just got mentally aroused and manipulated myself to ejaculation I just don't under stand about orally coughing up some of the discharge. There was no stomach contents expelled with the semen. In addition I have been in a state of almost constant climax all the time to the point of more than casual concern. However it's not normal I'm concerned about the oral dispelling, only happened once and as to going to the ER I'm in live in a long term skilled nursing facility and more than just a little embarrassed to come forward. Staying always in a state of excitement with what is obvious to me my catheter line visually shows (at least to me) the discharge. Do you believe my condition could really be harmful? Only thee nerves being overly stimulated by the Transverse Myeilitis.
doctor
Answered by Dr. Albana Sejdini 6 hours later
Brief Answer:
Not really harmful, but requires medical attention

Detailed Answer:
Hello back,

Thank for further details you sent in.
I can understand better your situation now.

Even in case of self stimulation (which is perfectly normal, and there's nothing to get embarrassed), usually the neurologist would give a few more instructions about taking proper care during sexual stimulation (including voluntary or not).

Living in a nursery facility makes it much more easier to get helped.

As explained earlier, there is high chance to get retrograde ejaculation. You said you felt expelled semen in the mouth. This means there is a communication between genitals and gastrointestinal pathways. This one we should check. That's why I asked you to get helped.

So try to discuss this with caring doctor or nurse at your facility.

All the best. Let me know if you have any other concern.
Dr.Albana Sejdini
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Albana Sejdini 0 minute later
Brief Answer:
Not really harmful, but requires medical attention

Detailed Answer:
Hello back,

Thank for further details you sent in.
I can understand better your situation now.

Even in case of self stimulation (which is perfectly normal, and there's nothing to get embarrassed), usually the neurologist would give a few more instructions about taking proper care during sexual stimulation (including voluntary or not).

Living in a nursery facility makes it much more easier to get helped.

As explained earlier, there is high chance to get retrograde ejaculation. You said you felt expelled semen in the mouth. This means there is a communication between genitals and gastrointestinal pathways. This one we should check. That's why I asked you to get helped.

So try to discuss this with caring doctor or nurse at your facility.

All the best. Let me know if you have any other concern.
Dr.Albana Sejdini
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
premium_optimized

The User accepted the expert's answer

Share on