&lt;h1 class=&quot;heading-title&quot;&gt;&lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/19435656/&quot;&gt;မကြာခဏ သုက်လွှတ်ခြင်းသည် ဆက်စပ်နေသော ရာဒီကယ်အလွတ်များ နှင့်လက်တစ်အက်စစ်များစုပုံနေခြင်းသည် ကူးစက်ရောဂါမဟုတ်သော ရောင်ရမ်းမှုနှင့် ကြွက်သားများလုပ်ဆောင်မှုကို ဖြစ်စေသည်- နာတာရှည်ဆီးကြိတ်ယောင်ခြင်း/နာတာရှည်ဆီးခုံယောင်ယမ်းနာကျင်ခြင်း ၏ လက္ခဏာများအတွက် ဖြစ်နိုင်ခြေရှိသော ယန္တရားတစ်ခု&lt;/a&gt;&lt;/h1&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;အမျိုးသားများ သုက်လွှတ်စဉ်အတွင်း တင်ပါးဆုံတွင်းကြွက်သားများသည် သုတ်ရည်များကို အမျိုးသားလိင်အင်္ဂါလမ်းကြောင်းမှ ဖယ်ထုတ်ရန်အတွက် ပေါင်းစပ်ထားသော ပြင်းထန်သောကျုံ့သွားခြင်းဖြစ်ပြီး၊ ဒေသအလိုက် လတ်တစ်အက်ဆစ်နှင့် ဖရီးရယ်ဒီကယ်များ အဆင့်တိုးလာခြင်းနှင့် ဆက်စပ်နေသည့် လုပ်ငန်းစဉ်တစ်ခုဖြစ်သည်။ ယင်းနှင့်စပ်လျဉ်း၍ မကြာခဏ သုက်လွှတ်ခြင်းနှင့် ထပ်ခါထပ်ခါ လိင်ပိုင်းဆိုင်ရာ လှုပ်ရှားမှုများသည် ရေနုတ်မြောင်းကို ဟန့်တားကာ တင်ပါးဆုံတွင်း ဒေသအတွင်း ထုတ်ကုန်များ စုပုံလာစေပြီး ဖောရောင်ခြင်း၊ သွေးပြန်ကြောများ ကျယ်လာခြင်းနှင့် ကြွက်သားများ ချို့ယွင်းခြင်းကဲ့သို့သော ဒေသဆိုင်ရာ ဇီဝကမ္မဆိုင်ရာ ပြောင်းလဲမှုများကို ဖြစ်ပေါ်စေသည်၊ CP)/နာတာရှည်ဆီးခုံယောင်ယမ်းနာကျင်ခြင်း (CPPS)။ ဆီးလမ်းကြောင်းအောက်ပိုင်း လက္ခဏာများ၊ တင်ပါးဆုံတွင်း မအီမသာဖြစ်ခြင်းနှင့် နာကျင်ခြင်းကဲ့သို့သော လူနာများ။&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;hr /&gt;
&lt;div class=&quot;article-content-section&quot;&gt;
&lt;h3 id=&quot;references&quot; class=&quot;reg&quot;&gt;References&lt;/h3&gt;
&lt;ol class=&quot;references&quot;&gt;
&lt;li&gt;Capogrosso P, Ventimiglia E, Cazzaniga W, Montorsi F, Salonia A:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.5534/wjmh.2017.35.1.1&quot;&gt;Orgasmic dysfunction after radical prostatectomy&lt;/a&gt;. World J Mens Health. 2017, 35:1.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.5534/wjmh.2017.35.1.1&quot;&gt;10.5534/wjmh.2017.35.1.1&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Parnham A, Serefoglu EC:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.21037/tau.2016.06.05&quot;&gt;Retrograde ejaculation, painful ejaculation and hematospermia&lt;/a&gt;. Transl Androl Urol. 2016, 592:601.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.21037/tau.2016.06.05&quot;&gt;10.21037/tau.2016.06.05&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Ilie CP, Mischianu DL, Pemberton RJ:&amp;nbsp;&lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17346279/&quot;&gt;Painful ejaculation&lt;/a&gt;. BJU Int. 2007, 99:1335-9.&lt;/li&gt;
&lt;li&gt;Irwin D, Milsom I, Reilly K, Hunskaar S:&amp;nbsp;&lt;a href=&quot;https://www.eu-openscience.europeanurology.com/article/S1569-9056(06)60543-5/abstract&quot;&gt;Prevalence of lower urinary tract symptoms (Luts) in men: European results from the epic study&lt;/a&gt;. Eur Urol Suppl. 2006, 5:157.&lt;/li&gt;
&lt;li&gt;Barnas J, Parker M, Guhring P, Mulhall JP:&amp;nbsp;&lt;a href=&quot;https://www.sciencedirect.com/science/article/abs/pii/S0302283804005585&quot;&gt;The utility of tamsulosin in the management of orgasm-associated pain: a pilot analysis&lt;/a&gt;. Eur Urol. 2005, 47:361-5.&lt;/li&gt;
&lt;li&gt;Antolak SJ, Hough DM, Pawlina W, Spinner RJ:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1016/s0306-9877(02)00218-9&quot;&gt;Anatomical basis of chronic pelvic pain syndrome: the ischial spine and pudendal nerve entrapment&lt;/a&gt;. Med Hypotheses. 2001, 59:349-53.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1016/s0306-9877(02)00218-9&quot;&gt;10.1016/s0306-9877(02)00218-9&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Butler JD, Leach A, Hershman MJ, Histories C:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1177/014107689809100811&quot;&gt;Painful ejaculation after inguinal hernia repair heart failure with fludro- cortisone in Addison&amp;rsquo;s disease&lt;/a&gt;. J R Soc Med. 1998, 91:1-2.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1177/014107689809100811&quot;&gt;10.1177/014107689809100811&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Rosen R, Altwein J, Boyle P:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1016/j.eururo.2003.08.015&quot;&gt;Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male (MSAM-7)&lt;/a&gt;. Eur Urol. 2003, 44:637-49.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1016/j.eururo.2003.08.015&quot;&gt;10.1016/j.eururo.2003.08.015&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Matsushita K, Tal R, Mulhall JP:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1111/j.1743-6109.2012.02699.x&quot;&gt;The evolution of orgasmic pain (dysorgasmia) Following radical prostatectomy&lt;/a&gt;. J Sex Med. 2012, 9:1454-8.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1111/j.1743-6109.2012.02699.x&quot;&gt;10.1111/j.1743-6109.2012.02699.x&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Kaplan HS:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.4324/9780203727317&quot;&gt;Hormones and sex&lt;/a&gt;. The New Sex Therapy, Active Treatment of Sexual Dysfunctions. Taylor &amp;amp; Francis, New York; 1974. 1:46-61.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.4324/9780203727317&quot;&gt;10.4324/9780203727317&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Alwaal A, Breyer BN, Lue TF:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1016/j.fertnstert.2015.08.033&quot;&gt;Normal male sexual function: emphasis on orgasm and ejaculation&lt;/a&gt;. Fertil Steril. 2015, 104:1051-60.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1016/j.fertnstert.2015.08.033&quot;&gt;10.1016/j.fertnstert.2015.08.033&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Althof SE, McMahon CG:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1016/j.urology.2016.02.018&quot;&gt;Contemporary management of disorders of male orgasm and ejaculation&lt;/a&gt;. Urology. 2016, 6:9-21.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1016/j.urology.2016.02.018&quot;&gt;10.1016/j.urology.2016.02.018&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Holstege G, Georgiadis JR, Paans AM, Meiners LC, Van der Graaf FH, Reinders AA:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1523/JNEUROSCI.23-27-09185.2003&quot;&gt;Brain activation during human male ejaculation&lt;/a&gt;. J Neurosci. 2003, 8:9185-93.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1523/JNEUROSCI.23-27-09185.2003&quot;&gt;10.1523/JNEUROSCI.23-27-09185.2003&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;N&amp;uacute;&amp;ntilde;ez R, Gross GH, Sachs BD:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1002/cne.902470402&quot;&gt;Origin and central projections of rat dorsal penile nerve: Possible direct projection to autonomic and somatic neurons by primary afferents of nonmuscle origin&lt;/a&gt;. J Comp Neurol. 1986, 247:417-29.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1002/cne.902470402&quot;&gt;10.1002/cne.902470402&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Comarr AE:&amp;nbsp;&lt;a href=&quot;http://www.ncbi.nlm.nih.gov/pubmed/5422714&quot;&gt;Sexual function among patients with spinal cord injury&lt;/a&gt;. Urol Int. 1970, 6:134-68.&lt;/li&gt;
&lt;li&gt;Gerstenberg TC, Levin RJ, Wagner G:&amp;nbsp;&lt;a href=&quot;https://bjui-journals.onlinelibrary.wiley.com/doi/abs/10.1111/j.1464-410X.1990.tb14764.x&quot;&gt;Erection and ejaculation in man. Assessment of the electromyographic activity of the bulbocavernosus and ischiocavernosus muscles&lt;/a&gt;. Br J Urol. 1990, 65:395-402.&lt;/li&gt;
&lt;li&gt;Blanker MH, Bosch JL, Groeneveld FP:&amp;nbsp;&lt;a href=&quot;http://www.ncbi.nlm.nih.gov/pubmed/11306400&quot;&gt;Erectile and ejaculatory dysfunction in a community-based sample of men 50 to 78 years old: prevalence, concern, and relation to sexual activity&lt;/a&gt;. Urology. 2001, 57:763-8.&lt;/li&gt;
&lt;li&gt;Nickel JC, Elhilali M, Vallancien G:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1111/j.1464-410X.2005.05341.x&quot;&gt;Benign prostatic hyperplasia (BPH) and prostatitis: Prevalence of painful ejaculation in men with clinical BPH&lt;/a&gt;. BJU Int. 2005, 95:571-4.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1111/j.1464-410X.2005.05341.x&quot;&gt;10.1111/j.1464-410X.2005.05341.x&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Litwin MS, McNaughton-Collins M, Fowler FJ:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1016/S0022-5347(05)68562-X&quot;&gt;The National Institutes of Health chronic prostatitis symptom index: development and validation of a new outcome measure&lt;/a&gt;. J Urol. 1999, 162:369-75.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1016/S0022-5347(05)68562-X&quot;&gt;10.1016/S0022-5347(05)68562-X&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Barnas JL, Pierpaoli S, Ladd P:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1111/j.1464-410X.2004.05009.x&quot;&gt;The prevalence and nature of orgasmic dysfunction after radical prostatectomy&lt;/a&gt;. BJU Int. 2004, 94:603-5.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1111/j.1464-410X.2004.05009.x&quot;&gt;10.1111/j.1464-410X.2004.05009.x&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Zaidi S, Gandhi J, Seyam O:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1159/000489429&quot;&gt;Etiology, diagnosis, and management of seminal vesicle stones&lt;/a&gt;. Curr Urol. 2019, 8093:113-20.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1159/000489429&quot;&gt;10.1159/000489429&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Sundar R, Sundar G:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1136/bcr-2014-207618&quot;&gt;Zinner syndrome: an uncommon cause of painful ejaculation&lt;/a&gt;. BMJ Case Rep. 2015, 2015:1-5.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1136/bcr-2014-207618&quot;&gt;10.1136/bcr-2014-207618&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Lira Neto FT, Bach PV, Miranda E de P:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.5935/1518-0557.20190075&quot;&gt;Management of ejaculatory duct obstruction by seminal vesiculoscopy: case report and literature review&lt;/a&gt;. JBRA Assist Reprod. 2020, 00:1-5.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.5935/1518-0557.20190075&quot;&gt;10.5935/1518-0557.20190075&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Kang PM, Seo WI, Yoon JH, Kim TS, Chung J:&amp;nbsp;&lt;a href=&quot;http://www.ncbi.nlm.nih.gov/pubmed/26387919&quot;&gt;Transutricular seminal vesiculoscopy in the management of symptomatic midline cyst of the prostate&lt;/a&gt;. World J Urol. 2016, 34:985-92.&lt;/li&gt;
&lt;li&gt;Wang H, Ye H, Xu C:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.2164/jandrol.111.013912&quot;&gt;Transurethral seminal vesiculoscopy using a 6F vesiculoscope for ejaculatory duct obstruction: initial experience&lt;/a&gt;. J Androl. 201, 33:637-43.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.2164/jandrol.111.013912&quot;&gt;10.2164/jandrol.111.013912&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Robert R, Prat-Pradal D, Labat JJ:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1007/BF01628908&quot;&gt;Anatomic basis of chronic perineal pain: role of the pudendal nerve&lt;/a&gt;. Surg Radiol Anat. 1998, 20:93-8.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1007/BF01628908&quot;&gt;10.1007/BF01628908&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Shoskes DA, Landis JR, Wang Y, Nickel JC, Zeitlin SI, Nadler R:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1097/01.ju.0000132798.48067.23&quot;&gt;Impact of post-ejaculatory pain in men with category III chronic prostatitis/chronic pelvic pain syndrome&lt;/a&gt;. J Urol. 2004, 172:542-7.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1097/01.ju.0000132798.48067.23&quot;&gt;10.1097/01.ju.0000132798.48067.23&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Simpson GM, Blair JH, Amuso D:&amp;nbsp;&lt;a href=&quot;https://europepmc.org/article/med/5850736&quot;&gt;Effects of antidepressants on genito-urinary function&lt;/a&gt;. Dis Nerv Syst. 1965, 26:787-789.&lt;/li&gt;
&lt;li&gt;Kraus MB, Wie CS, Gorlin AW, Wisenbaugh ES, Rosenfeld DM:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1002/sm2.93&quot;&gt;Painful ejaculation with cyclobenzaprine: a case report and literature review&lt;/a&gt;. Sex Med. 2015, 3:343-5.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1002/sm2.93&quot;&gt;10.1002/sm2.93&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Shapiro EI, Silber SJ:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1016/S0015-0282(16)44357-8&quot;&gt;Open-ended vasectomy, sperm granuloma, and postvasectomy orchialgia&lt;/a&gt;. Fertil Steril. 1979, 32:546-50.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1016/S0015-0282(16)44357-8&quot;&gt;10.1016/S0015-0282(16)44357-8&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Gray M, Zillioux J, Khourdaji I, Smith RP:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.21037/tau.2018.06.20&quot;&gt;Contemporary management of ejaculatory dysfunction&lt;/a&gt;. Transl Androl Urol. 2018, 7:686-702.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.21037/tau.2018.06.20&quot;&gt;10.21037/tau.2018.06.20&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Johnson CW, Bingham JB, Goluboff ET, Fisch H:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1111/j.1464-410X.2004.05261.x&quot;&gt;Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms&lt;/a&gt;. BJU Int. 2005, 95:117-9.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1111/j.1464-410X.2004.05261.x&quot;&gt;10.1111/j.1464-410X.2004.05261.x&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Barnas J, Parker M, Guhring P, Mulhall JP:&amp;nbsp;&lt;a href=&quot;https://dx.doi.org/10.1016/j.eururo.2004.10.020&quot;&gt;The utility of tamsulosin in the management of orgasm-associated pain: a pilot analysis&lt;/a&gt;. Eur Urol. 2005, 47:361-5.&amp;nbsp;&lt;span class=&quot;citation-doi&quot;&gt;&lt;a href=&quot;https://dx.doi.org/10.1016/j.eururo.2004.10.020&quot;&gt;10.1016/j.eururo.2004.10.020&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Jordi PM, Maria-Jos&amp;eacute; AM, Luis-Alfonso MM, Mauro SM:&amp;nbsp;&lt;a href=&quot;https://journals.lww.com/clinicalpain/Abstract/2004/09000/Management_of_Ejaculation_Pain_With_Topiramate__A.14.aspx&quot;&gt;Management of ejaculation pain with topiramate: a case report&lt;/a&gt;. Clin J Pain. 2004, 20:368-369.&lt;/li&gt;
&lt;/ol&gt;
&lt;/div&gt;

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