Retrograde ejaculation

As an ejaculation retrograde ejaculation is called, in which the semen is discharged backwards into the bladder. This may come as a delayed, attenuated, or even lack of (visible ) occur ejaculation and also pretend azoospermia in the latter case.

Causes

The cause consists of neurological, anatomical, but also iatrogenic reasons in a malfunction of the internal sphincter, but can also be aged a result of prostate enlargement.

Iatrogenic causes

This can be a side effect of drug therapy ( methyldopa, alpha blockers such as phenoxybenzamine for improvement of Harnabflusses with prostate enlargement ( BPH) ), etc.), after transurethral resection of the prostate and more extensive surgery in the pelvis and the corresponding nerve injury occur. Even with mental disorders as neuroleptic may occur for retrograde ejaculation. Many patients suffer therefore a detailed information by the attending physician is very important.

Acquired causes

Harnröhrenstenosen different causes and neurogenic damage as a late consequence of diabetes, in multiple sclerosis and spinal cord injury are the most common acquired reasons for retrograde ejaculation.

Congenital causes

Abnormalities of the bladder neck, disorders of the sympathetic nervous

Diagnosis

The semen volume is less than 1 ml is confirmed retrograde ejaculation by the urine is examined usually after masturbation microscopically for sperm.

Therapy

Especially in paraplegic patients can electrostimulation has made good progress. In disorders caused by diabetes late complications is also a drug treatment, such as imipramine, possible.