Retrograde Ejaculation

Advice: A common problem after some urological operations, and certain medical treatments. It results in infertility, which can be managed. RE itself is difficult to treat, but can be distressing; please refer if your patient is troubled.

Refer To: Urologist.

Definition:

Retrograde ejaculation is common after bladder neck surgery, which includes TURP, and other BPH procedures. It also occurs with alpha-blocker treatment, but should resolve some time after cessation of treatment. Occasionally, retroperitoneal or pelvic surgery will result in irreversible RE.


Diagnosis:

As mentioned, RE results in infertility, which can be addressed by a reproductive specialist. However, before treatment is started, documentation of the diagnosis is required with a post-‘ejaculation’ urine sample for microscopy to look for sperm.


Treatment of retrograde ejaculation:

Alpha-blockers can be stopped, but other treatment may need to be commenced for lower urinary tract symptoms.

Alpha-agonists have been used in some patients, but great care is required.


Referral:

  • Urologist for consideration of treatments
  • Reproductive specialist for fertility issues

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    North Adelaide,
    Adelaide SA 5006
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