When a man experiences erect penis problems, it has a big impact on his sex life. Even men who are meticulous about their penis health may end up having an erect penis issue, through no fault of their own, and that can be frustrating and dispiriting. One little-known issue can be orgasmic dysfunction brought about by surgery to the pelvis. Read on to learn more about this concern.

Pelvic surgery

First, it pays to consider reasons why a man might need pelvic surgery at all. There can be a number of reasons.

Sometimes, a man requires surgery because he has a severe cause of urinary incontinence, that is, he can no longer control when he releases his urine. When there is a bladder issue, such as a stone or an obstruction, surgery is sometimes required. Prostate cancer often requires a surgical procedure, as do complications affecting the penis, scrotum, urinary tract, etc. And sometimes the pelvic area simply suffers a significant trauma with damages to an extent that surgery is necessary. All of these would be considered forms of pelvic surgery.


While pelvic surgery is often ultimately harmless, as with any surgical procedure, there is always a risk of complications. Although it is known that such surgery can sometimes cause complications that affect the erectile process, it is less commonly known that sometimes a man can have a complication from pelvic surgery that specifically affects his orgasmic function.

Not the same thing

While many men also use "ejaculation" or one of its synonyms to mean the same thing as "orgasm," in fact they are not the same. Ejaculation specifically refers to the expulsion of semen from the penis. Orgasm refers to the climactic pleasurable sensation that occurs from sexual stimulation. In most cases, orgasm and ejaculation occur simultaneously, but not always. A man can have ejaculation without orgasm, and, less typically, vice versa.

Orgasmic dysfunction is typically broken down into several categories:

- Anorgasmia refers to a situation in which there is a total absence of orgasm during sexual stimulation.

- Dysorgasmia means that a person is capable of having an orgasm, but there is typically pain associated with it. The degree of pain may range from minor to quite severe.

- Climacturia is also called orgasm-associated incontinence and it means that when a man ejaculates, he also leaks urine. The amount of urine leaked can vary.

Both anorgasmia and dysorgasmia may also be associated with an ejaculatory issue, as well as an orgasmic one. Climacturia almost always involves ejaculation, but there are some rare occasions when a man orgasms without ejaculation but does leak urine anyway.

Data on orgasmic dysfunction after pelvis surgery is hard to come by, and there are no evidence-validated tools for measuring and defining orgasmic dysfunction, making it even more difficult to understand the issue. However, if a man does find that he is having an orgasmic problem, even if he has a fully erect penis and ejaculates forcefully, he should contact his urologist to discuss the situation, determine the specific cause and outline a treatment strategy.

Orgasmic dysfunction is thankfully a rare erect penis issue. In some instances, penis sensitivity may be at fault, so regular use of a first class penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) is in order. The wise man will select a crème that includes acetyl L-carnitine among its ingredients. This wonderful amino acid has neuroprotective properties that help prevent and restore diminished sensation due to rough handling. The best crème will also include a range of vitamins, such as A, B5, C, D and E, to provide healthy protection to the penis.