Post-Ultrasound Lithotripsy: Why Can't I Ejaculate?

Unable to pass stones after lithotripsy?

After undergoing ultrasound lithotripsy for kidney stones, I returned home and found that I couldn't ejaculate, even though I felt the urge.
What could be the reason for this? Is it possible that something is stuck?

Shen Jie Shi, 20~29 year old female. Ask Date: 2015/10/15

Dr. Li Yilun reply Urology

If it is related to extracorporeal shock wave lithotripsy, usually just resting more and drinking plenty of water for 2-3 days will lead to recovery.
If symptoms persist, it is advisable to consult the treating physician.

Reply Date: 2015/10/15

More Info

After undergoing ultrasound lithotripsy for kidney stones, experiencing difficulty with ejaculation can be concerning and may stem from several factors related to the procedure and the body's response to it.
Firstly, it is important to understand that lithotripsy is a non-invasive procedure that uses sound waves to break kidney stones into smaller pieces, which can then be passed more easily through the urinary tract. While this procedure is generally safe and effective, it can cause temporary changes in the body, particularly in the urinary and reproductive systems.

One possible reason for the inability to ejaculate could be related to the effects of the procedure on the surrounding tissues. The shock waves used in lithotripsy can cause some inflammation or irritation in the urinary tract, which may affect the normal functioning of the reproductive organs. This inflammation can lead to discomfort or changes in sensation, which might make it difficult to achieve ejaculation even if the sensation is present.

Another factor to consider is the psychological aspect. Undergoing a medical procedure can be stressful, and anxiety about the procedure or its aftermath can impact sexual function. Stress and anxiety can lead to difficulties in achieving orgasm or ejaculation, even if there are no physical barriers.

Additionally, it is worth noting that the body may take some time to recover fully from the procedure. If there was any swelling or bruising in the area, it could temporarily affect the nerves and blood flow necessary for ejaculation.
If you are experiencing this issue, it is advisable to monitor the situation. If the problem persists beyond a few days or is accompanied by other symptoms such as pain, blood in the urine, or fever, it is crucial to consult your healthcare provider. They can perform a thorough evaluation to rule out any complications, such as urinary tract infections or other issues that may have arisen from the lithotripsy.

In summary, while it can be alarming to experience changes in sexual function following a medical procedure, it is often temporary and related to the body's healing process. However, if you have concerns or if the issue continues, seeking medical advice is the best course of action to ensure your health and well-being.

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