Retrograde Ejaculation Due to Posterior Urethral Stricture: A Rare Case Report

Area of Science:

• Urology
• Sexual Medicine
• Trauma Surgery

Background:

• Pelvic fractures frequently cause injuries to the posterior urethra, potentially leading to strictures.
• Urethral strictures can significantly impair sexual function, including ejaculation.
• Retrograde ejaculation is a common complication following pelvic trauma and urethral reconstruction.

Observation:

• A 29-year-old man presented with a 3-year history of retrograde ejaculation and 8 years of urethral stricture post-pelvic fracture.
• Diagnostic imaging included retrograde urethrogram for stricture measurement and transrectal color Doppler ultrasound to monitor ejaculation.
• The patient desired improvement in ejaculatory function.

Findings:

• Urethral balloon dilatation successfully relieved urinary obstruction, restoring normal urination.
• Transrectal color Doppler ultrasound demonstrated partial antegrade ejaculation alongside continued retrograde ejaculation after treatment.
• The procedure addressed the urethral stricture, offering a degree of functional improvement.

Implications:

• This case highlights the potential for minimally invasive techniques like balloon dilatation in managing complex post-traumatic urethral strictures.
• Real-time ultrasound monitoring provides valuable insights into ejaculatory dynamics following intervention.
• Successful management can improve quality of life for patients suffering from sexual dysfunction after pelvic trauma.