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Dear Michael,
The condition you describe is called retrograde ejaculation. The fluid from the prostate and ejaculatory ducts are normally deposited in the back of the urethra during ejaculation . The bladder neck is closed at this time. This fluid is then expelled out through the penis through the rhythmic contractions of the urethra. Retrograde ejaculation occurs when surgery to the bladder neck alters its function in such a way that it remains open during ejaculation.
Most often, retrograde ejaculation due to surgery is not responsive to treatment with medicines. Drugs such as phenylpropanolamine, ephedrine (Sudafed) and pseudoephedrine can be used. If this fails, then you still may have children with some assistance from fertility specialists. The sperm can be recovered from your urine or taken directly from your testicle and intrauterine insemination can be performed
Most men with retrograde ejaculation have normal orgasmic sensation. I don’t think surgery is an option in your case. This information is provided for general medical education 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).
HFHS M.D.-KR
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