Retrograde Ejaculation, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

Retrograde ejaculation is a medical disorder when semen enters the bladder instead of going out through the urethra during ejaculation.
Retrograde ejaculation (RE) occurs when the semen passes into the bladder rather than along the urethra.
Retrograde ejaculation is uncommon.
RE is a common type of ejaculatory dysfunction, but accounts for 0.3%-2% of infertility of males.
This condition is marked by significant retrograde propulsion of seminal fluid into the bladder
The bladder neck in the normal physiological condition closes with high pressure during ejaculation, forcing semen deposited into the posterior part of the urethra to flow forward through the urethra and out the urethral meatus
It most often occurs when the bladder neck opening does not close.
This causes semen to go backwards into the bladder rather than forwards out of the penis.
Retrograde ejaculation may be caused by:
1. Diabetes
2. Some medicines including, drugs used to treat high blood pressure and some mood-altering drugs
3. Medicines or surgery to treat prostate or urethra problems
With impaired or absent bladder neck closure, semen in the early part of the urethra may be propelled along the path of least resistance into the bladder
Symptoms are:
1. Cloudy urine after orgasms
2. Little or no semen is released during ejaculation
A urinalysis that is taken soon following ejaculation will show a large number of sperm in the urine.
Treatment
1. The doctor may recommend that the man stop taking any medicines that may potentially induce retrograde ejaculation.
2. Neurological causes of RE, such as spinal cord injury, are not responsive to medical treatment
However, in some patients with partial neurological injuries (i.e. in the early stages of progressive spinal cord trauma) medical treatment of the nerve helps.
Retrograde ejaculation that is caused by diabetes or surgery may be treated with medicines such as imipramine or pseudo-ephedrine.
These agents facilitate forward propulsion of semen by raising bladder neck tone
a. Imipramine
b. Several alpha adrenergic agonists have also been widely prescribed to treat both RE
These drugs (sympathomimetics) are ephedrine, pseudo-ephedrine, and midodrine are alternative pharmacological choices to imipramine
c. Midodrine is an alpha adrenergic receptor agonist mainly used to cure orthostatic hypotension.
It has also been demonstrated to activate the sympathetically innervated structures, such as the prostate, vas deferentia, and seminal vesicles, and to provide the rhythmic muscle contraction required during ejaculation
Electro-ejaculation is primarily used to achieve forward ejaculation in non-ejaculatory men after retroperitoneal lymph node dissection (RPLND) or spinal cord injury.

TABLE OF CONTENT
Introduction
Chapter 1 Retrograde Ejaculation
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Male Orgasm
Chapter 8 Premature Ejaculation
Epilogue

• Language: English
• Publisher: Kenneth Kee
• Release date: Oct 15, 2016
• ISBN: 9781370022915

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

�_�cbook_preview_excerpt.html�W�n�6�>:�v��@�
_�4 R�����4�b�"���<�7�{���Jڕ%}����3g��З��eL����{�wtE��|\�<����ˏ��Nƻ���՝{Ӵv����|���_ߪI�zW���3z�|4q��C �ri=:W��'pC�K\=z3���-9G��w��wۛ��f{�Ug���u�=[=�W��Sg����.u u]5��J6�/��vf_���/�����އ*��9�u�]aM��M1,�tbf[�f��L����6Q��U>O�邢�A�fG������p�q�����#����
|t��;6����?�T�` �*A�'U���Y�J��Q��k�坉�#��)k&)�
��R~�1�0������n�ԭ�Z��*ܳ5R���ԟO�g+p��&a�͘CkJr�v>H�-�蝶��G?H���a�N�5zP�'U� �S��R��7�U��8$��y���z�S����Yk�Gb�e��4���n��86 �A�j�P�����*�@���Nt����:����H΢�O�s+SId�;�6�I��q��)���:d�6̠� J]p��cG�1�{'��C��;��5Pl�L?)�X��p`�I@�K��o~V]9y^��GB2
�F�6R�V�Li�g� ����eqU���v~~�}�@����$�]�q�ލ���l�\A�v`�IuD�J�/8�b ���䵞�s;X��鞝F��䣖�����t������v:�F����*#��7FF~���G�E=�`Vq�|a���m��vY�� �ď���A1�9#1u%(���Q�2
 �\=O���|2&m��Z��0�g ��'�?ƞu'QPQ=�����+!6�P"R�`�t�q��CaD1c��rԫ�����F��
V��B�ܶ�L|���n�h�fxfβ�]�({�В>p���,�I�/..�n�g 8W!Jn,y^H��SO���ԣ��\n��.q��Z�L<
�R��E�WgK��� ��X�,[�r��1B!
��\"������w O�0F��9�O#�Ѥ��RZcR�9�;b��M��,��H�(3�x���:�H|"�G<Gi@?�4�d�t0� RuB��N���Qc�K��I ��\����]f�W�[E�sܓ�H�:�Z�Gd�X�X�x�g�|]j���r0T�x��w;�����7��´ NB�$��/yya�x�2rp��T�%���I��'��۾J� ��u����K�µ�oZYQI���@��������3��ճ�*�Cib���z�;夕"��C����4�G`�7A���������^�[Pr�YdPzY�z�����ts7�d�r=�cC�8�C�`ň�k�-�"�I�ה4���qj�)(���e���O2�dž�éߖ����F&N���7
��<9���l�v���p��Cs����:�N�