title: Anejaculation as an atypical presentation of prostate cancer: a case report.
abstract: Anejaculation may occur as a result of neurological disease, iatrogenic injury or be drug induced. We report a case of a 66 year old man who presented with anejaculation following an emergency abdominal aortic aneurysm repair. Due to an elevated prostate specific antigen (PSA) level, the patient underwent a prostate biopsy and was diagnosed with a prostate adenocarcinoma. This was effectively managed using active surveillance, a treatment modality that aims to select only those patients with significant cancer for radical treatment. Despite the possible cause of anejaculation to be iatrogenic, the reader should be aware that prostate cancer may co-exist in, or cause any disorder of the lower urinary tract.
authors.affiliation: Department of Urology, Princess Alexandra Hospital, Hamstel Road, Harlow, Essex, CM20 1QX, UK. krghani@gmail.com.
authors.forename: Uwais
authors.initials: U
authors.lastname: Mufti
authors.forename: Khurshid R
authors.initials: KR
authors.lastname: Ghani
authors.forename: Rateb
authors.initials: R
authors.lastname: Samman
authors.forename: Jaspal
authors.initials: J
authors.lastname: Virdi
authors.forename: Bernard
authors.initials: B
authors.lastname: Potluri