Retrograde ejaculation: a way of management

ABSTRACT

Retrograde ejaculation can be a significant problem when it interferes with fertility. Sympathomimetic drugs and sperm retrieval from the urine with insemination of the wife are the common methods of treatment. Surgical trials for therapy include plication of the bladder neck region or the Young-Dees procedure. Here, we report a new surgical concept for management of the problem. Five [5] men aged 23-32 years and having intractable retrograde ejaculation underwent temporary surgical occlusion of the bladder neck combined with supra-pubic Urinary diversion. Endoscopic release of bladder neck occlusion was done when pregnancy was achieved. The results were satisfactory, and four [4] of the five [5] men treated have fathered children. This operation may be considered only after failure of all other standard procedures whether conservative or surgical to correct retrograde ejaculation