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Retrograde ejaculation.
A Hershlag1, S F Schiff, A H DeCherney
1Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT 06510.
Human Reproduction (Oxford, England)
|February 1, 1991
Summary
Retrograde ejaculation, a common complication after prostatectomy or due to diabetic neuropathy, is diagnosed by finding sperm in urine. Treatment involves medication, sperm retrieval with intrauterine insemination, or surgical options.
Area of Science:
- Urology
- Reproductive Medicine
- Andrology
Background:
- Retrograde ejaculation is the failure of the normal ejaculatory mechanism.
- It commonly occurs after transurethral prostatectomy, retroperitoneal lymph-node dissection, and diabetic neuropathy.
Purpose of the Study:
- To discuss the diagnosis and management of retrograde ejaculation.
- To explore treatment options when pharmacologic interventions fail.
Main Methods:
- Diagnosis is confirmed by the absence of sperm in antegrade ejaculate.
- Sperm presence in post-masturbatory urine is a key diagnostic indicator.
Main Results:
- Pharmacologic treatments aim to restore antegrade ejaculation.
- If medical treatments fail, sperm recovery from urine is pursued.
Conclusions:
- Sperm recovery from urine followed by intrauterine insemination is a primary treatment strategy.
- Surgical alternatives for retrograde ejaculation are also considered.