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Question
My spouse always has some semen leakage in his underwear.  We have to use the drug Ed Ex because he is plated & pinned from a fall in the pelvis.  Can you have venous leakage occur without arousal?  I sometimes think he gets on porn sites & gets aroused & that is why the leakage or can the leakage occur at anytime without any arousal?

Answer
Gina:

I assume you mean the drug Edex not Ed Ex.  Edex is an injectable medication that causes erections by direct action on the arteries and smooth muscle tissue in the penis.

Venous leakage can occur without arousal, but it would not mean anything clinically and would not cause any semen leakage.

With a pelvic fracture, some nerve injury may have also occurred that could be responsible for some of the semen leakage.  It could also be precum or even prostatic secretions.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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