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Urology (Expert Forum)
Re: No semen during ejaculation
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.
Re: No semen during ejaculation
by Shanon-Rogers, Jan 01, 1995 12:00AM
Posted By Shannon Rogers on May 10, 1999 at 16:39:27
Hi, my name is actually Shannon and my husband's name is George. We're both in our early 20's and have been married for two wonderful years. During the time we dated, my husband (boyfriend then) was diagnosed with a severe case of testicular cancer. He had one testicle removed, and after doing a biopsy on the lymph nodes in his lower abdomen, he was cut from his chest down and had all but one lymph node removed due to the spreading cancer (RPLND). He's currently fine - he's been in remission for almost 3 years, but there have certainly been some obstacles since his illness. The doctors told us then not to hope for children, but we didn't realize how severe the situation would be...My husband and I have a wonderful intimacy, yet he has absolutely no sperm now. And when I say he has no sperm, I mean he is completely dry even during ejaculation. The doctor we spoke with couldn't understand why there was absolutely NO FLUID at all since George had his surgeries. I just recently read an article regarding men who have gone through TC and have had RPLND. In this article, retrograde ejaculation was mentioned, meaning a sympathetic nerve was severed during surgery and the semen goes to the bladder instead of the penis. This is the first I have heard of the possibility, and I would graciously accept any info. regarding the situation. Any advice would be appreciated as well.
Thank you and God bless,
Shannon Rogers
Hi, my name is actually Shannon and my husband's name is George. We're both in our early 20's and have been married for two wonderful years. During the time we dated, my husband (boyfriend then) was diagnosed with a severe case of testicular cancer. He had one testicle removed, and after doing a biopsy on the lymph nodes in his lower abdomen, he was cut from his chest down and had all but one lymph node removed due to the spreading cancer (RPLND). He's currently fine - he's been in remission for almost 3 years, but there have certainly been some obstacles since his illness. The doctors told us then not to hope for children, but we didn't realize how severe the situation would be...My husband and I have a wonderful intimacy, yet he has absolutely no sperm now. And when I say he has no sperm, I mean he is completely dry even during ejaculation. The doctor we spoke with couldn't understand why there was absolutely NO FLUID at all since George had his surgeries. I just recently read an article regarding men who have gone through TC and have had RPLND. In this article, retrograde ejaculation was mentioned, meaning a sympathetic nerve was severed during surgery and the semen goes to the bladder instead of the penis. This is the first I have heard of the possibility, and I would graciously accept any info. regarding the situation. Any advice would be appreciated as well.
Thank you and God bless,
Shannon Rogers
One thing you can have tested is for semen present in the urine. After ejaculation (within the hour) collect a urine sample. This can then be tested for semen. If sperm/semen is present then there is some kind of back-up to the bladder instead of the normal way out. I had this test done when I started having a greatly reduced amount of ejaculate.
You may want to look at this site on urological problems:
http://www.mic.ki.se/Diseases/c12.html
it has info on George's condition that may help you understand it better. Good luck!
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