What is the reason for sexual arousal without ejaculation after abdominal surgery?

Patient's question:

I had surgery to remove an abdominal lymphatic cyst (about 9x8cm) about one and a half months ago. The wound has healed normally, but I've encountered a problem. Recently, there have been a few instances of sexual arousal, with erections and excitement phases (relatively brief), but without ejaculation. What could be the reason? Is it related to the surgery? How should it be treated? Urgent reply needed, thank you!

Doctor's answer:

First, it should be distinguished whether it is retrograde ejaculation or true anejaculation. Retrograde ejaculation refers to the condition where a patient experiences sexual desire climax and the sensation of ejaculation during intercourse, but no semen is expelled from the urethral orifice. The main reason for anejaculation is psychological factors, and it can also be seen in cases of lack of sexual knowledge or improper sexual intercourse methods. Organic factors are more common in spinal cord damage, sympathetic ganglion injury, diabetes, chronic alcoholism, etc.

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