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Updated: May 22, 2026

Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification
Published on: December 8, 2023
Management of ejaculatory disorders in infertile men
Yagil Barazani1, Peter J Stahl, Harris M Nagler
1Beth Israel Medical Center and the Albert Einstein College of Medicine of Yeshiva University, New York, NY 10003, USA.
Ejaculatory disorders like anejaculation and retrograde ejaculation significantly impact male fertility. This review focuses on diagnosing and managing these conditions to address subfertility concerns.
Area of Science:
- Reproductive Medicine
- Urology
- Andrology
Background:
- Ejaculatory dysfunctions are common, ranging from premature ejaculation (PE) to complete anejaculation (AE).
- Delayed ejaculation (DE) and PE often cause sexual dissatisfaction but typically preserve fertility.
- Anejaculation (AE) and retrograde ejaculation (RE) render men subfertile due to impaired sperm delivery.
Purpose of the Study:
- To review the diagnosis and management of anejaculation (AE) and retrograde ejaculation (RE).
- To focus on ejaculatory disorders that significantly affect male fertility.
- To provide an overview of current treatment strategies for AE and RE.
Main Methods:
- Review of physiological mechanisms of ejaculation.
- Discussion of diagnostic strategies for AE and RE.
- Analysis of pharmacological and procedural treatment options.
Main Results:
- AE and RE are distinct entities causing subfertility.
- Effective diagnostic pathways are crucial for appropriate management.
- Various treatment interventions exist for AE and RE.
Conclusions:
- AE and RE are key ejaculatory disorders impacting male fertility.
- Management strategies aim to restore fertility in affected individuals.
- Understanding physiology and diagnostics is vital for successful treatment of AE and RE.
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