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Suggest Treatment For Kidney Stones And Lack Of Sexual Pleasure

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Posted on Fri, 12 Dec 2014
Question: On medication for kidney stone. Masturbated but no ejaculation. The orgasm was muted, non pleasurable .Is this normal?

Meds:
Ketorolac
oxybutynin
tamsulosin
phenazopyridine
doctor
Answered by Dr. Dr. P. T. Patil (8 hours later)
Brief Answer:
Due to side effect of Tomsulosin.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have been detected to have kidney stone for which you have been taking drugs that includes Tomsulosin.

Tomsulosin is a smooth muscle relaxant that relaxes smooth muscles of the bladder neck and ureter which helps to pass the stone with ease.

During ejaculation bladder neck gets closed hence semen does not enter into the bladder and pushed forward in to urethra and expelled out ,However in a patient who is taking Tomsulosin the bladder neck remains open resulting semen going backwards in to bladder hence one does not experience semen being ejaculated.This is called as Retrograde Ejaculation.

This can be confirmed by doing microscopic examination of urine passed immediately after masturbation or intercourse.

Do not worry this problem will get resolved once you stop taking Tomsulosin.

Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Suggest Treatment For Kidney Stones And Lack Of Sexual Pleasure

Brief Answer: Due to side effect of Tomsulosin. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have been detected to have kidney stone for which you have been taking drugs that includes Tomsulosin. Tomsulosin is a smooth muscle relaxant that relaxes smooth muscles of the bladder neck and ureter which helps to pass the stone with ease. During ejaculation bladder neck gets closed hence semen does not enter into the bladder and pushed forward in to urethra and expelled out ,However in a patient who is taking Tomsulosin the bladder neck remains open resulting semen going backwards in to bladder hence one does not experience semen being ejaculated.This is called as Retrograde Ejaculation. This can be confirmed by doing microscopic examination of urine passed immediately after masturbation or intercourse. Do not worry this problem will get resolved once you stop taking Tomsulosin. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.