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Related Experiment Videos

Electroejaculation following retroperitoneal lymphadenectomy.

D A Ohl1, J Denil, C J Bennett

  • 1Department of Surgery, University of Michigan Medical Center, Ann Arbor.

The Journal of Urology
|May 1, 1991
PubMed
Summary
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Transrectal electroejaculation effectively treats anejaculation after retroperitoneal lymph node dissection, achieving seminal emission in all patients and leading to pregnancies. This method offers a viable fertility option for men with post-surgical ejaculatory dysfunction.

Area of Science:

  • Urology
  • Reproductive Medicine
  • Oncology

Background:

  • Retroperitoneal lymph node dissection (RPLND) for testis cancer can cause ejaculatory dysfunction (anejaculation).
  • Anejaculation significantly impacts male fertility and quality of life.

Purpose of the Study:

  • To evaluate the efficacy of transrectal electroejaculation (TRE) in men with anejaculation post-RPLND.
  • To assess the fertility outcomes following artificial insemination with electroejaculated sperm.

Main Methods:

  • TRE was performed in 24 men with anejaculation post-RPLND.
  • Seminal parameters were analyzed, and sperm were used for artificial insemination (AI).
  • Pregnancy rates and cycle fecundity were calculated.

Main Results:

Related Experiment Videos

  • Seminal emission was achieved in 100% of patients.
  • Sufficient motile sperm for AI were obtained in 21 of 24 patients.
  • Seven pregnancies were achieved in 19 couples undergoing AI, with 5 healthy births.

Conclusions:

  • Transrectal electroejaculation is a highly effective treatment for anejaculation following RPLND.
  • TRE provides a successful pathway to achieve pregnancy for men with ejaculatory dysfunction after RPLND.
  • Routine semen parameters did not predict successful conception.