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[Anejaculation: its etiology and pathogenesis, classification and clinical aspects]
Urologiia I Nefrologiia
|July 1, 1995
Summary
Anejaculation, the inability to ejaculate, is often caused by surgery or diabetes. Current treatments show limited success, highlighting the need for better diagnostic approaches and preventative strategies for male infertility.
Area of Science:
- Urology
- Andrology
- Reproductive Medicine
Context:
- Anejaculation affects 43 patients, often resulting from prostatic/bladder neck surgery or diabetes mellitus.
- Common presentations include retrograde ejaculation, impaired sperm emission, and aspermatism.
Purpose:
- To propose a classification and diagnostic algorithm for anejaculation.
- To evaluate treatment outcomes and identify effective therapies.
Summary:
- Leading causes include peripheral neuropathy, bladder sphincter injury, and psychosexual disorders.
- Diagnosis requires assessing orgasm presence and post-orgasm sperm in urine.
- Treatments like selective adrenomimetics, laser therapy, and electrovibration showed some positive responses.
Impact:
- Improved diagnostic accuracy for anejaculation.
- Highlights the need for enhanced preventative measures and treatment strategies.
- Informs clinical practice in andrology and urology for male reproductive health.