Remote spinal trauma resulting in dorsal column spinal pathway dysfunction and anejaculation

Angelica Griggs-Demmin; Matthew Rabinowitz; Ashley Paul; Amin Herati

doi:10.1016/j.eucr.2023.102323

Remote spinal trauma resulting in dorsal column spinal pathway dysfunction and anejaculation

Urol Case Rep. 2023 Feb 10:47:102323. doi: 10.1016/j.eucr.2023.102323. eCollection 2023 Mar.

Authors

Angelica Griggs-Demmin¹, Matthew Rabinowitz¹, Ashley Paul², Amin Herati³

Affiliations

¹ Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD, 21205, USA.
² Parkinson's Disease and Movement Disorders Center, Johns Hopkins Outpatient Center, 601 N. Caroline St., Baltimore, MD, 21287, USA.
³ Brady Urological Institute, Johns Hopkins Medicine, 600 N. Wolfe St., Baltimore, MD, 21287.

Abstract

Spinal cord injury (SCI) as the cause of anejaculation is a rare entity. We present the case of a 65-year-old male with a five-year history of intractable anejaculation. Two years prior to onset of his anejaculation, the patient fell from height, causing minor spinal trauma, with sequelae of cervical myelopathy and eventual posterior spinal fusion of C1/C2. Biothesiometry and sensory evaluation revealed diminished somatic sensation of his glans penis in a frequency-dependent pattern. The patient's pudendal sensory loss and anejaculation correlate with his spinal trauma, as evidenced by the lack of peripheral nervous system findings upon neurological exam and imaging.

Keywords: Anorgasmic anejaculation; Cervical myelopathy; Spinal cord injury.

Publication types

Case Reports