RESUMO
Twenty-one consecutive patients complaining of nonejaculatory intercourse were studied. Fifteen patients had anejaculation of various types, and sex therapy succeeded in 4 of 7 cases. Three patients had retrograde ejaculation that could be corrected by ephedrine sulfate in two cases having a neurologic cause. In one of three patients having nonemission, ejaculation was restored after stopping the drug thioridazine. A juvenile diabetic patient was discovered to have nonemission and not retrograde ejaculation. A classification of the disorders leading to nonejaculatory intercourse based on pathogenetic and clinical data is presented, including anejaculation, retrograde ejaculation, nonemission, and aspermia.
Assuntos
Coito , Ejaculação , Doenças dos Genitais Masculinos/fisiopatologia , Adolescente , Adulto , Doenças dos Genitais Masculinos/etiologia , Doenças dos Genitais Masculinos/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto , PsicoterapiaRESUMO
During a three years period, evaluation of etiologic factors in 385 consecutive infertile men revealed chronic prostato-vesiculitis as the commonest cause (25.7%) followed by varicocele (21.8%). In 77% of the patients with chronic prostatitis the authors found a decreased spermatozoa motility rate. AN obstruction of the sperm duct was found in 7,8%, autoagglutination in 5.7%. Idiopathic infertility was diagnosed in 10.9% of the patients. The significance of these findings and the contributions of other causes in this series are discussed.
