Ejaculatory domain of Male sexual health questionnaire (Ej-MSHQ) 16 will be used for detailed assessment of the impact of each procedure on ejaculatory function and subsequently the impact of reported ejaculatory changes on orgasm perception. This domain entails seven questions assessing ejaculatory frequency, latency, volume, force, pain, pleasure, and dry ejaculation. Each question has a score from 1 to 5 (best function) and the outcome of each question is considered significantly impaired once equals 2 or less. A total Ej-MSHQ score of good ejaculatory function was considered for a range from 28-35, average from 22 to 27 and ejaculatory dysfunction for score less than 22 .