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Patients’ experiences of orgasm changes and loss of ejaculation after radical prostatectomy

Journal article
Authors C. D. Jägervall
A Birgitta Gunnarsson
J. Brüggemann
Published in Läkartidningen
Volume 113
Issue 36-37
ISSN 0023-7205
Publication year 2016
Published at Institute of Neuroscience and Physiology
Language en
Subject categories Nursing, Health Care Service and Management, Health Policy and Services and Health Economy


In this study we report on men’s experiences of orgasm changes and loss of ejaculation after radical prostatectomy. Ten men, all recruited through a Swedish hospital, were interviewed and data was analyzed using qualitative content analysis. The results showed that the experience of orgasm has weakened but that the loss of ejaculation was not perceived as a loss per se. However, the risk of urine release during orgasm was troublesome and inhibiting. These challenges were framed within an existential narrative about sexuality, as expressed in preoperative sexual farewell rituals and postoperative feelings of ambivalence and regret. These findings can be used in the design of patient information and for sexual rehabilitation treatment. © 2016, Swedish Medical Association. All rights reserved.

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