Practical application of color Doppler ultrasonography in patients with ejaculatory dysfunction

Abstract

We describe two cases in which dynamic analysis of ejaculation using color Doppler ultrasonography was useful in diagnosis of ejaculatory dysfunction and planning of therapy. The first patient was a 32-year-old man with a diagnosis of retrograde ejaculation. A bladder neck collagen injection was carried out, as the main cause was thought to be the bladder neck remaining open during ejaculation. The patient had antegrade ejaculation 1 week later. The second patient was a 48-year-old man with a diagnosis of anorgasmia accompanied by decreased seminal emission and insufficient function of the rhythmic pelvic striated muscles. The patient was prescribed etilefrine hydrochloride 15 mg/day. The symptom improved 2 weeks after starting this drug. These cases suggest that the use of color Doppler ultrasonography during ejaculation can improve the understanding of ejaculatory dysfunction and therapy for this condition.

Male squirting: Analysis of one case using color Doppler ultrasonography

“…In this case, we observed the phenomenon of mSQ using a scientific approach. We have previously investigated human ejaculation using a color Doppler ultrasound device, including analysis of normal male ejaculation and ejaculation dysfunction such as retrograde ejaculation and orgasm disorder. Using a similar approach, in this case, we succeeded in recording mSQ after normal ejaculation for the first time in the medical literature.…”

Ultrassonografia Doppler Colorido E Doppler Espectral Para O Estudo De Pequenos Fluxos

“…A ultrassonografia Doppler é uma técnica útil e não invasiva para identificar qualquer alteração no fluxo sanguíneo de testículos e escroto e também para realizar o seguimento dos tratamentos (ORTEGA-FERRUSOLA et al 2014). HARA et al (2015), ampliaram o estudo do reprodutor masculino estudando o fluxo do fluído seminal durante a ejaculação, com Doppler colorido. Reportam dois casos onde o Doppler colorido ajudou no diagnóstico de disfunção ejaculatória e no planejamento da terapia.…”

“…Num dos casos o paciente sofria de infertilidade, a análise dinâmico mostrou o colo vesical aberto antes da estimulação, durante a ejaculação, ocorreu contração da próstata, mas o colo vesical, não foi completamente fechado antes do fim da ejaculação, sendo assim o fluido seminal desviado para a vesícula seminal, e não ejetado para o orifício uretral externo, sendo diagnosticado de ejaculação retrógrada (HARA et al 2015).…”

“…Conclui-se que essa condição de anorgasmia, era causada por uma disfunção do musculo pélvico rítmico. O paciente foi tratado com êxito sendo o primeiro caso de diagnóstico e tratamento exitoso de anorgasmia usando Doppler colorido (HARA et al 2015). O Doppler colorido aporta novas informações sobre a ejaculação e pode ser de grande utilidade no exame clínico de rotina das disfunções ejaculatórias (HARA et al 2015).…”

Restoration of antegrade ejaculation after transurethral bladder neck injection of Deflux for retrograde ejaculation: a case report of natural conception

“…This article first reports a patient with idiopathic retrograde ejaculation not only restored antegrade ejaculation, but also successfully fathered a child naturally after transurethral bladder neck injection of Deflux. According to previous reports, antegrade ejaculation can be achieved (4)(5)(6). But whether the patients with restoration of antegrade ejaculation can achieve natural conception has not been answered.…”