Post-Surgery Concerns: Reduced Sensitivity and Urinary Issues Explained - Urology

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I recently underwent a minor oral surgery under general anesthesia and received several days of anti-inflammatory and pain relief medications.
Now that I am discharged and resting at home, I have noticed a decrease in erectile sensitivity (it feels dull), and the pleasure during ejaculation has significantly diminished.
I also feel that the strength of my bladder has weakened when urinating.
Doctor, could this be due to my physical strength not having fully recovered, or is it a result of the anesthesia or the surgery?

A-Ming, 30~39 year old female. Ask Date: 2007/01/31

Dr. Xu Weikai reply Urology


A-Ming: Hello, you might be overthinking it.
It should be the pain from the wound affecting your mood, which in turn leads to unsatisfactory erections.
Generally, anesthetics are metabolized completely and rarely leave any residual effects.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/01/31

More Info


After undergoing surgery, especially one that involves general anesthesia, it is not uncommon for patients to experience various changes in their bodily functions, including sensitivity, urinary issues, and overall physical sensations. Your concerns regarding reduced sensitivity during erections, diminished pleasure during ejaculation, and a perceived decrease in bladder strength can be attributed to several factors related to the surgery and recovery process.

Firstly, general anesthesia can have a temporary impact on the nervous system. Anesthesia works by blocking nerve signals, which can lead to a temporary reduction in sensation in various parts of the body. This effect can linger for a few days or even weeks after the procedure as your body metabolizes the anesthetic agents and returns to its normal state. Additionally, the medications you received post-surgery, such as anti-inflammatory and pain relief drugs, can also contribute to changes in sensation and overall physical responsiveness. Opioids, for example, are known to cause side effects such as sedation and reduced libido, which could explain the changes you are experiencing.

Moreover, the surgical procedure itself, even if it was minor and performed in the oral cavity, can lead to temporary physiological changes. Stress and anxiety related to surgery and recovery can also affect sexual function and urinary health. The body’s focus on healing can divert energy and resources away from other functions, including sexual arousal and urinary control.

Another important aspect to consider is the psychological impact of surgery. The experience of undergoing a procedure, coupled with the recovery process, can lead to anxiety or stress, which can further affect sexual performance and urinary function. It’s essential to give yourself time to heal both physically and mentally.
As for the urinary issues you mentioned, a weakened bladder sensation or control can also be a result of the medications you were prescribed. Some pain medications can lead to urinary retention or a feeling of incomplete bladder emptying. Additionally, if you were less active during your recovery, this could also contribute to a temporary decrease in bladder function.

In most cases, these symptoms are temporary and should improve as your body continues to heal. It is crucial to maintain open communication with your healthcare provider about any ongoing concerns. If these issues persist beyond a few weeks or worsen, it would be advisable to seek further evaluation. Your doctor may recommend a urological assessment to rule out any underlying conditions that may have been exacerbated by the surgery or medications.

In summary, the changes you are experiencing are likely multifactorial, involving the effects of anesthesia, medications, and the psychological impact of surgery. It is essential to be patient with your recovery process and to consult with your healthcare provider if you have any lingering concerns or if your symptoms do not improve. They can provide guidance tailored to your specific situation and help ensure that your recovery progresses smoothly.

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