What Would Lead To Urine Ejaculation During Intercourse When There Was No Normal Feeling Or Semen Long After Spinal Cord Injury?

Posted on Tue, 24 Jul 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 24 Jul 2018 Answered on

Wed, 23 Nov 2022 Last reviewed on

Question : I’m a 70 year old man. I suffered a spinal cord injury 3 years ago at level T10. I am paralyzed below my waist. I thought my schedule life was over. But several weeks ago my girlfriend got me aroused and we had sex. I didn’t have normal feeling, but I did orgasm, several times. The problem is that there was only urine that ejaculated, not semen. What’s the explanation and can I ever return to normal ?

Answered by Dr. Shinas Hussain (2 hours later)

Brief Answer:
You can go for Penile vibratory stimulation (PVS)

Detailed Answer:

Hello,

Spinal cord injuries may cause impaired ejaculation like dry ejaculation (as in your case) and retrograde ejaculation. This is because of weakness or damage of nerves controlling the genital region and sexual function.

It can be treated to an extent but completely recovery takes time.

Penile vibratory stimulation (PVS) induces a strong afferent nerve stimulation and intense activation of the autonomic nervous system, and is considered first-line treatment. Drugs like midodrine may also be used along with PVS.

Consult a neurologist and he will direct you accordingly.

Wishing you good health.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj