Witkin M H, Kaplan H S
J Sex Marital Ther. 1982;8(3):209-21. doi: 10.1080/00926238208405823.
A 65-year-old man, having undergone a penectomy operation that spared the ejaculatory apparatus and some erotically responsive areas, experienced a spontaneous orgasm, with ejaculation, upon being touched in the perineal area during a massage. Unable to duplicate the experience, he (and later his wife) entered sex therapy, which resulted in his being able to have orgasms during lovemaking. The course of the therapy is described, as are certain issues arising from the therapy. Regaining of the man's orgasmic ability was accompanied by a striking improvement in the intrapsychic and interpersonal functioning of the couple, and this is taken to be an example of the "ripple effect" of successful sex therapy. The implications for this therapeutic approach for the rehabilitation of other penectomy patients and their spouses are discussed. Finally the question of surgical penile reconstruction in such cases is explored.
一名65岁男性接受了保留射精装置和一些性敏感区域的阴茎切除术，在一次按摩过程中，其会阴区受到触碰时出现了自发性高潮并伴有射精。由于无法再次重现这一经历，他（以及后来他的妻子）接受了性治疗，治疗后他能够在做爱过程中达到高潮。文中描述了治疗过程以及治疗中出现的某些问题。该男子性高潮能力的恢复伴随着这对夫妇内心和人际功能的显著改善，这被视为成功性治疗“涟漪效应”的一个例子。文中讨论了这种治疗方法对其他阴茎切除患者及其配偶康复的意义。最后探讨了此类病例中阴茎重建手术的问题。
