Retrograde ejaculation.
Failure of the normal ejaculatory mechanism may lead to retrograde ejaculation. This occurs most commonly as a result of transurethral prostatectomy, retroperitoneal lymph-node dissection and diabetic neuropathy. The diagnosis is based on the absence of sperm in the antegrade ejaculate and the presence of sperm in the post-masturbatory urine. If pharmacologic attempts to restore antegrade ejaculation fail, sperm recovery from the urine and intrauterine insemination are usually indicated. Surgical alternatives are discussed.
Hershlag
A
A
Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT 06510.
Schiff
S F
SF
DeCherney
A H
AH
D004542:Ejaculation / Q000502:physiology*; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D008297:Male; D013076:Sperm Count; D014556:Urine / Q000166:cytology