Management of ejaculatory disorders in infertile men

Barazani, Yagil; Stahl, Peter J.; Nagler, Harris M.; Stember, Doron S.

doi:10.1038/aja.2012.29

Cited by 45 publications

(54 citation statements)

References 41 publications

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“…Psychogenic anejaculation is frequent among the infertile population (Barazani et al, 2012). Anejaculation could be observed in patients refusing fatherhood (because of financial, psychological or social issues) or could be secondary to the infertility diagnosis (Huyghe et al, 2013).…”

Section: Ejaculatory Disordersmentioning

confidence: 99%

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Male infertility: an obstacle to sexuality?

2016

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SUMMARYInteractions between infertility and sexuality are numerous and complex. Infertile men may suffer from sexual dysfunction (SD) when undergoing an assisted reproductive technology programme. We undertook a review both in French and English of the available data on male SD when being diagnosed with a fertility problem with a specific focus on azoospermic men. The review was performed over a 30-year time period using PubMed/Medline. The sexual concerns and needs of infertile/sterile men for whom potential parenting can be compromised were evaluated. When diagnosed with infertility, men usually go through a crisis that can have a deleterious effect on their sexuality with sometimes a feeling of sexual inadequacy. Infertile men will feel stigmatized because they are perceived as being deficient in a specific component of their masculinity. Hence, subsequent SD may occur that can impact the couple sexuality and the infertility management. However, little is known on how the announcement of azoospermia may affect male on a sexual and psychological point of view. The present review suggests that a global management through a healthcare network (biologist, andrologist, sexologist and psychologist) is required which will allow to consider infertility and its subsequent sexual disorders as a whole and not as dichotomized issues.

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Section: Ejaculatory Disordersmentioning

confidence: 99%

“…In addition, the sexual performance anxiety emphasizes the ejaculatory disorders and therefore has a harmful impact on the couple (Shindel et al, 2008). Hence, an appropriate management of ejaculatory disorders in infertile men is necessary (Barazani et al, 2012).…”

Section: Ejaculatory Disordersmentioning

confidence: 99%

Male infertility: an obstacle to sexuality?

2016

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“…Ejaculatory disorders, such as retrograde ejaculation, ejaculatory duct obstruction, or anejaculation, are important contributors to male infertility (1–3). They can arise as primary disorders or can be secondary to treatment of another disease.…”

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confidence: 99%

MR Imaging of the Prostate and Adjacent Anatomic Structures before, during, and after Ejaculation: Qualitative and Quantitative Evaluation

Medved

Sammet²,

Yousuf³

et al. 2014

Radiology

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Purpose To determine the possibility of obtaining high-quality magnetic resonance (MR) images before, during, and immediately after ejaculation and detecting measurable changes in quantitative MR imaging parameters after ejaculation. Materials and Methods In this prospective, institutional review board–approved, HIPAA-compliant study, eight young healthy volunteers (median age, 22.5 years), after providing informed consent, underwent MR imaging while masturbating to the point of ejaculation. A 1.5-T MR imaging unit was used, with an eight-channel surface coil and a dynamic single-shot fast spin-echo sequence. In addition, a quantitative MR imaging protocol that allowed calculation of T1, T2, and apparent diffusion coefficient (ADC) values was applied before and after ejaculation. Volumes of the prostate and seminal vesicles (SV) were calculated by using whole-volume segmentation on T2-weighted images, both before and after ejaculation. Pre- and postejaculation changes in quantitative MR parameters and measured volumes were evaluated by using the Wilcoxon signed rank test with Bonferroni adjustment. Results There was no significant change in prostate volumes on pre- and postejaculation images, while the SV contracted by 41% on average (median, 44.5%; P = .004). No changes before and after ejaculation were observed in T1 values or in T2 and ADC values in the central gland, while T2 and ADC values were significantly reduced in the peripheral zone by 12% and 14%, respectively (median, 13% and 14.5%, respectively; P = .004). Conclusion Successful dynamic MR imaging of ejaculation events and the ability to visualize internal sphincter closure, passage of ejaculate, and significant changes in SV volumes were demonstrated. Significant changes in peripheral zone T2 and ADC values were observed.

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“…У мужчин с АЭ и отсутствием в посткоиталь-ной моче сперматозоидов, пригодных для ВРТ, применяли оперативные вмешательства -чре-скожные аспирационные биопсии придатков яичек (ПЕСА) или яичек (ТЕСА по методике, предложен-ной L. Levineet, E. Lisek (1998) [5], в модификации). При этом придаток яичка и яичко фиксировали рукой, захватывали кожу мошонки и растягивали ее рукой над яичком и головкой придатка.…”

Section: материалы и методы исследованияunclassified

The infertility overcoming in men with retrograde ejaculation and anejaculation

et al. 2017

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In this descriptive retrospective, single-center study, we analyzed the local database of 82 men treated for infertility due to retrograde ejaculation and anejaculation in the International Centre for Reproductive Medicine. Spermatozoa for IVF/ICSI cycles were retrieved from post-ejaculatory urine and by aspiration biopsies (PESA/TESA). An algorithm for diagnosis and treatment of infertile men with retrograde ejaculation and anejaculation has been suggested. (For citation: Korneyev IA, Zasseev RD. The infertility overcoming in men with retrograde ejaculation and anejaculation. Urologicheskie vedomosti. 2017;7(2):10-15. doi: 10.17816/uroved7210-15).

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Management of ejaculatory disorders in infertile men

Cited by 45 publications

References 41 publications

Male infertility: an obstacle to sexuality?

Male infertility: an obstacle to sexuality?

MR Imaging of the Prostate and Adjacent Anatomic Structures before, during, and after Ejaculation: Qualitative and Quantitative Evaluation

The infertility overcoming in men with retrograde ejaculation and anejaculation

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