The surgical correction of retrograde ejaculation.
Two patients with retrograde ejaculation subsequent to Y-V plasty of the bladder neck underwent a surgical procedure to reconstruct the internal vesical sphincter and correct the phenomenon. The approach is transvesical and the internal vesical sphincter is reconstructed to the diameter of a No. 16 Foley catheter. The normal muscle of the bladder neck is approximated after the mucosa and scar tissue are excised. Both patients now have normal ejaculation and one has fathered a child.
D000328:Adult; D002921:Cicatrix / Q000601:surgery; D004542:Ejaculation; D005500:Follow-Up Studies; D005832:Genital Diseases, Male / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000209:etiology*; D008297:Male; D008722:Methods; D001745:Urinary Bladder Diseases / Q000150:complications / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000601:surgery