Retrograde ejaculation following open ureteric reimplantation: a case report
Eleanor Au1, Ranan Dasgupta, Prokar Dasgupta
1Department of Urology, Guy's Hospital London, SE1 9RT UK.
Journal of Medical Case Reports
|November 18, 2009
Summary
Retrograde ejaculation, a rare complication of ureteric reimplantation surgery, occurred in a young man. This case highlights the need for patient counseling regarding potential ejaculatory dysfunction after open pelvic procedures.
Area of Science:
- Urology
- Surgical Complications
Background:
- Retrograde ejaculation is an uncommon condition.
- It is not typically associated with ureteric reimplantation surgery.
Purpose of the Study:
- To report an unusual case of retrograde ejaculation following ureteric reimplantation.
- To highlight this as a potential complication of open pelvic surgery.
Main Methods:
- A case presentation of a 25-year-old man with left hydronephrosis due to a megaureter.
- Open reimplantation of the ureter was performed.
- Post-operative retrograde ejaculation was observed and medically treated without success.
Main Results:
- The patient developed retrograde ejaculation after ureteric reimplantation.
- Medical therapy for the ejaculatory dysfunction was ineffective.
Conclusions:
- Retrograde ejaculation can be a potential complication of open pelvic surgery.
- Patients undergoing such procedures should receive pre-operative counseling.
- This finding is important for urologists and general physicians managing male ejaculatory difficulties.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
01:26Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
01:22Ureters
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...