Anejaculation due to sacral tarlov cyst: A case report

Abstract

Persistent or recurrent difficulty, delay in, or absence of attaining orgasm following sufficient sexual stimulation was defined as inhibited ejaculation or anejaculation that causes personal distress. Efferent innervation of ejaculation is somatic through the parasympathetic sacral outflow, originates at S2–S4. Anejaculation has neurogenic and nonneurogenic causes. Tarlov cysts occur on the extradural components of sacral or coccygeal nerve roots. Large Tarlov cysts may cause symptoms related to local compression and subsequently may affect the ejaculation. This study reports a case of anejaculation due to sacral Tarlov cyst.

Seksuel uyariyi takiben orgazmin olusmasinda kalici veya gecici zorluk, gecikme ya da orgazmin gerceklesmemesi inhibe edilmis ejakulasyon ya da anejakulasyon olarak tanimlanir. Ejakulasyonun efferent stimulasyonu S2 – S4 den orijin alan parasempatik liflerle saglanir. Anejakulasyonun norojenik ve norojenik olmayan sebepleri vardir. Tarlov kistleri sacral ve koksigeal sinir koklerinin ekstradural komponentlerinden orijin alir. Genis Tarlov kistleri lokal kompresyona bagli semptomlara neden olabilir ve ejakulasyonu etkileyebilir. Bu calismada sacral Tarlov kistine bagli gelisen anejakulasyon vakasi sunulmustur.