Q. After having a radical prostatectomy one year ago, I am experiencing post-“ejaculatory” pain that is increasing in severity and frequency. What is the cause, and is there any treatment?

A. I have seen several patients suffering from pelvic pain following ejaculation. As in your case, these men had radical prostatectomies (removal of the prostate). Post-ejaculatory pain after radical prostate surgery appears to be due to the cutting and clamping of the vas. In order to remove the prostate and seminal vesicles, the surgeon must clip and cut the sperm duct (vas) from each testicle. This has been known to cause post-ejaculatory pain.

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