Dhat syndrome, an emergent condition within urology in Spain

Abstract

In urology consultations, we have been witnessing the unusual appearance of DS, a condition known by psychologists and psychiatrists and practically unheard of by urologists. A previously unknown condition in Spain, immigration from Asia, is causing the appearance of this syndrome. Its rapid identification will prevent patients from paying costly and unnecessary tests and provide alternative therapies, within a multidisciplinary approach involving psychologists and psychiatrists.

Dhat Syndrome and its Social Impact

“…In a recent study conducted in Spain by Menendez V, et al, 11 25% of patients complained of daily sperm loss while in 37.5% it was weekly and patients complained of the syndrome lasting from 3 months up to 10 years. In a study conducted by De Silva P, et al 18 complaint of duration of the semen loss lasts up to 20 years.…”

“…A significant number of patients with Dhat syndrome come to urologist consultation but there have been very limited reports that describe or analyze this syndrome in urological literature. 11 In the case of Dhat syndrome, the nature of underlying belief, i.e., 'semen is the most vital fluid and has to be conserved at any cost' is such that there is intense distress in the wake of continued loss of dhat. 12 Sumathipala, et al 13 and Balhara, et al 7 have reported that Dhat syndrome was not confined to Oriental countries infact it was prevalent in Europe, USA and Australia in the nineteenth century.…”

Analysis of Patients Presenting with Dhat Syndrome and its Impact on Society

“…In a recent study conducted in Spain by Menendez .V et al 9 , 25 % of patients complained of daily sperm loss while in 37.5 % it was weekly and patients complained of the syndrome lasting from 3 months up to 10 years. In a study conducted by De Silva P et al 16 complaint of duration of the semen loss lasts up to 20 years.…”

“…A significant number of patients with dhat syndrome come to urologist consultation but there have been very limited reports that describe or analyse this syndrome in urological literature 9 . In the case of dhat syndrome, the nature of underlying belief, i.e., ‗semen is the most vital fluid and has to be conserved at any cost' is such that there is intense distress in the wake of continued loss of dhat 10 .…”

“…Avasthi A et al 20 had advised a standardized treatment protocol that mainly includes sex education, bio-feedback and relaxation exercises. Bhatia et al 21 obtained the best result using tranquillizers, Menendez V et al 9 have reported best results using multivitamin, Wigg NN et al 22 recommended proper counseling along with placebo, anti-anxiety and antidepressant drugs as required while Avasthi A et al 23 recommended sex education and relaxation exercises.…”