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Urology (Expert Forum)
Retrograde Ejeculation
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Retrograde Ejeculation
by moin77, Dec 17, 1999 12:00AM
I have suffering from retrograde ejeculation following a cathter in 1990.Vol. is reduced to less than 1 ml and semen just oozes out. I would like to my ejeculation normal again? Is there any cure. My urologist suggested Sudafed but does not work?
Please let me know if there other remedies ,surgery etc. Thanks
Please let me know if there other remedies ,surgery etc. Thanks
Doctor's Answer
by HFHS M.D.-BL, Dec 18, 1999 12:00AM
Dear Moin77,
Retrograde ejaculation is a condition that typically occurs along with conditions such as diabetes or multiple sclerosis. This can also occur after surgeries such as transurethral resection of the prostate or retroperitoneal lymph node dissections for testicular cancer. Success rates as high as 40% have been achieved in clinical studies using either alpha agonist agents such as Sudafed or Phenylpropanolamine or the antidepressant Imipramine to treat retrograde ejaculation associated with diabetes or following retroperitoneal lymph node dissection.
In your specific case, you may benefit from a different agent such as Imipramine. However, if your retrograde ejaculation was truly caused by trauma from a catheter, you may have a physical blockage of the semen flow from the vas deferens as it exits into the urethra via the ejaculatory ducts. If a blockage exists, this would most likely appear on an ultrasound exam as a grossly enlarged vas deferens. This could possibly be relieved by a transurethral resection of the ejaculatory ducts. Remember that I have not completed a thorough history and physical exam on you, and there is no substitute for a complete exam by a skilled urologist.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BL
Retrograde ejaculation is a condition that typically occurs along with conditions such as diabetes or multiple sclerosis. This can also occur after surgeries such as transurethral resection of the prostate or retroperitoneal lymph node dissections for testicular cancer. Success rates as high as 40% have been achieved in clinical studies using either alpha agonist agents such as Sudafed or Phenylpropanolamine or the antidepressant Imipramine to treat retrograde ejaculation associated with diabetes or following retroperitoneal lymph node dissection.
In your specific case, you may benefit from a different agent such as Imipramine. However, if your retrograde ejaculation was truly caused by trauma from a catheter, you may have a physical blockage of the semen flow from the vas deferens as it exits into the urethra via the ejaculatory ducts. If a blockage exists, this would most likely appear on an ultrasound exam as a grossly enlarged vas deferens. This could possibly be relieved by a transurethral resection of the ejaculatory ducts. Remember that I have not completed a thorough history and physical exam on you, and there is no substitute for a complete exam by a skilled urologist.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BL
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