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Case Reports in Urology
Volume 2015 (2015), Article ID 465748, 3 pages
http://dx.doi.org/10.1155/2015/465748
Case Report

First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male

Southern Illinois University School of Medicine, 301 N 8th Street-4B, P.O. Box 19665, Springfield, IL 62794, USA

Received 19 August 2014; Accepted 9 December 2014

Academic Editor: Giorgio Carmignani

Copyright © 2015 Bradford J. Stevenson and Tobias S. Köhler. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Persistent genital arousal disorder (PGAD) is a newly recognized disorder in women. It is described as unwanted, persistent feelings of genital arousal unrelated to sexual desire and not relieved by orgasm. Its prevalence is estimated to approach 1% of young women. Until now, this has not been described in men. Aim. Here we present a case of a 27-year-old male with symptoms consistent with PGAD and describe successful treatment. Methods. A 27-year-old male presented to urology clinic with the chief complain of persistent feelings of impending orgasm. He reported a sensation similar, but not identical, to sexual arousal that did not occur in the setting of sexual thoughts or desire. Orgasm alleviated the arousal for only a short time after which the symptoms would return. This had become quite bothersome to him. Results. After assessing for a neurological cause and finding none, the patient was started on paroxetine daily with complete resolution of symptoms. Conclusions. PGAD is a disorder previously described only in females. Although symptoms of PGAD have been described in a male as part of another disorder complex, this report describes the first reported isolated case in a male and the successful treatment.