Synonym(s)
"dry orgasm"
DefinitionThis section has been translated automatically.
Instead of the physiological antegrade ejaculation of the sperm from the urethra, there is a complete or partial retrograde ejaculation of the sperm into the bladder.
EtiopathogenesisThis section has been translated automatically.
Causes can be malformations, inflammations, tumours or surgical interventions on the bladder neck, more rarely also drugs (such as phenoxybenzamine e.g. dibenzyran and other alpha-sympatholytics e.g. Minipress) or diabetes mellitus.
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DiagnosisThis section has been translated automatically.
Partially retrograde ejaculation results in reduced ejaculate volume (less than 2 ml), reduced sperm motility and greatly reduced ejaculate fructose values (significantly less than 120 mg/dl, partly not measurable); completely retrograde ejaculation results in absence of ejaculate despite orgasm; spermatozoa are then detected in the urine or urine sediment.
General therapyThis section has been translated automatically.
Exclusion of malformations, inflammations or tumours. Stop all drugs that can cause retrograde ejaculation.
Internal therapyThis section has been translated automatically.
In the case of infertility symphatikomimetics such as Midodrin (e.g. Gutron) 10-40 mg i.v. or Imipramine (e.g. Tofranil) 3 times 25 mg p.o. Good success with Ameziniummetilsulfat (e.g. Regulton) once/day 10 mg p.o. have been described (off-label use; evidence level IV). Cave! Sympathomimetic side effects, especially in older patients.
LiteratureThis section has been translated automatically.
- Ichiyanagi O et al (2003) Successful treatment of retrograde ejaculation with amezinium. Arch androl 49: 215-217
- Plewa GF (1989) The retrograde ejaculation - diagnosis and therapy. Dt Dermatol 37: 287-288
- Van der Linden PJ et al (1992) Retrograde ejaculation: successful treatment with artificial insemination Obstet Gynecol 79: 126-128
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Fructose in ejaculate;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer