title: [Retrograde ejaculation as a cause of aspermia following retroperitoneal lymph node excision and the effective use of alpha sympathomimetic drugs].
abstract: Retroperitoneal lymphadenectomy may produce in the majority of patients an irreversible loss of normal ejaculation due to lesion of presacral sympathetic nerve fibers. Libido and orgasm did remain unchanged. In 14.3% of the patients a retrograde ejaculations could evaluated. By application of alpha-sympathicomimetic drugs this could reversed to an antegrade ejaculation. However, fertility was altered strongly because of motility loss.
authors.affiliation: Klinik für Nephrologie und Urologie, Bezirkskrankenhaus Aue.
authors.forename: V
authors.initials: V
authors.lastname: Barth
mesh_terms: D000284:Administration, Oral; D000328:Adult; D004542:Ejaculation / Q000187:drug effects*; D005500:Follow-Up Studies; D006801:Humans; D007099:Imipramine / Q000008:administration & dosage*; D007248:Infertility, Male / Q000188:drug therapy*; D008197:Lymph Node Excision; D008297:Male; D009845:Oligospermia / Q000188:drug therapy*; D011183:Postoperative Complications / Q000188:drug therapy*; D012187:Retroperitoneal Space; D013076:Sperm Count / Q000187:drug effects; D013081:Sperm Motility / Q000187:drug effects; D013736:Testicular Neoplasms / Q000601:surgery*
chemical_list: D007099:Imipramine
vernacular_title: Retrograde Ejakulation als Ursache der Aspermie nach retroperitonealer Lymphonodektomie und der wirkungsvolle Einsatz von Alpha-Sympathikomimetika.