Ejaculatory Sterility

Rowan, Robert L.; Howley, Thomas F.

doi:10.1016/s0015-0282(16)35768-5

Cited by 9 publications

(2 citation statements)

References 3 publications

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“…Various sympathomimetic agents have been used therapeutically in the treatment of retrograde and absent ejaculation but not with universal success [Rowan and Howley, 1965;Stockamp et al, 1974;Stewart and Bargani, 1974], The main disadvantage of the usual sympa thomimetic agents is their short duration of action. Mi dodrine is a new alpha-adrenergic agonist that has a pro tracted onset of action and longer duration of activity than earlier alpha-adrenergic stimulants [Pittner et al, 1976;Paumgartner et al, 1970], Jonas et al [1979] reported the use of Midodrine in the treatment of loss of ejaculation after retroperitoneal lymphadenectomy.…”

Section: Discussionmentioning

confidence: 99%

Partial Ejaculatory Incompetence: the Therapeutic Effect of Midodrine1, an Orally Active Selective Alpha-Adrenoceptor Agonist

Riley¹,

Riley²

1982

Eur Urol

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Section: Discussionmentioning

confidence: 99%

Partial Ejaculatory Incompetence: the Therapeutic Effect of Midodrine1, an Orally Active Selective Alpha-Adrenoceptor Agonist

Riley¹,

Riley²

1982

Eur Urol

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“…Psychotherapists can provide treatment for these patients. However, the therapy is of long duration, and the compliance and success rate are rather low ( 25 , 26 ). Thus, PVS and EEJ have been the primary methods of sperm retrieval for PAE couples undergoing assisted conception procedures.…”

Section: Discussionmentioning

confidence: 99%

Electroejaculation combined with assisted reproductive technology in psychogenic anejaculation patients refractory to penile vibratory stimulation

Meng¹,

Fan²,

Wang³

et al. 2018

Transl. Androl. Urol.

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BackgroundPsychogenic anejaculation (PAE) is a rare disease in clinic seriously affecting quality of life, especially fertility of patients. However, there is not an effective treatment for these patients. The aim of the study was to evaluate the results of treatment with electroejaculation (EEJ), intrauterine insemination (IUI), and intracytoplasmic sperm injection (ICSI) in patients with PAE who were refractory to penile vibratory stimulation (PVS).MethodsTwenty PVS-refractory patients with PAE were included in the retrospective study. Semen was retrieved through EEJ procedures. According to the semen quality and patient preference, IUI or ICSI was selected.ResultsA total of 23 procedures of EEJ were performed in 20 patients. Sperm was successfully retrieved in all of the cases. Yielded semen was used in a total of 16 ICSI procedures in 6 couples. The fertilization rate was 54.0%. The ICSI cycles resulted in three pregnancies; of these one resulted in a live birth. Fourteen couples were treated with 26 IUI cycles, which resulted in live births in five pregnancies.ConclusionsEEJ offers an encouraging pregnancy opportunity for men with PAE who were refractory to PVS. The combined use of EEJ and assisted reproductive techniques is excellent management for PAE infertility. In our study, EEJ resulted in pregnancies and the birth of six healthy children.

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