Treatments for retrograde ejaculation focus on closing the bladder neck using surgical bladder reconstruction or pharmacotherapy with sympathicomimetic agents (e.g., ephedrine) or anticholinergics (e.g., imipramine). If sperm is needed for procreation and retrograde ejaculation cannot be corrected pharmacologically, vibratory stimulation of the penile shaft and glans penis (93) can be used. For those men who fail vibrator therapy, transrectal stimulation (94) may be used to obtain sperm.

0 0

Post a comment