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Management of the dry ejaculate: a systematic review of aspermia and retrograde ejaculation.
Fertil Steril. 2015 Nov; 104(5):1074-81.FS

Abstract

A dry ejaculate (aspermia), may occur either because of an inability to transport semen (anejaculation) or because of an inability to ejaculate in an antegrade direction (retrograde ejaculation). The treatment of aspermia varies with underlying etiology and includes medical therapy with sympathomimetics, urinary sperm retrieval, bladder neck reconstruction, prostatic massage, penile vibratory stimulation, electroejaculation, and surgical sperm retrieval. A systematic review of the current literature was performed for articles on ejaculatory dysfunction related to dry ejaculate. However, the data are insufficient to allow firm comparisons between treatment options. Treatments must be tailored to the individual patient, and treatment decisions should involve consideration of ease of administration, degree of invasiveness, and anticipated success.

Authors+Show Affiliations

Department of Urology, Emory University School of Medicine, Atlanta, Georgia. Electronic address: akanksha.mehta@emory.edu.Department of Urology, Alpert Medical School of Brown University, Providence, Rhode Island.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

26432530

Citation

Mehta, Akanksha, and Mark Sigman. "Management of the Dry Ejaculate: a Systematic Review of Aspermia and Retrograde Ejaculation." Fertility and Sterility, vol. 104, no. 5, 2015, pp. 1074-81.
Mehta A, Sigman M. Management of the dry ejaculate: a systematic review of aspermia and retrograde ejaculation. Fertil Steril. 2015;104(5):1074-81.
Mehta, A., & Sigman, M. (2015). Management of the dry ejaculate: a systematic review of aspermia and retrograde ejaculation. Fertility and Sterility, 104(5), 1074-81. https://doi.org/10.1016/j.fertnstert.2015.09.024
Mehta A, Sigman M. Management of the Dry Ejaculate: a Systematic Review of Aspermia and Retrograde Ejaculation. Fertil Steril. 2015;104(5):1074-81. PubMed PMID: 26432530.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of the dry ejaculate: a systematic review of aspermia and retrograde ejaculation. AU - Mehta,Akanksha, AU - Sigman,Mark, Y1 - 2015/10/01/ PY - 2015/08/06/received PY - 2015/09/10/revised PY - 2015/09/16/accepted PY - 2015/10/4/entrez PY - 2015/10/4/pubmed PY - 2016/2/18/medline KW - Aspermia KW - anejaculation KW - dry ejaculate KW - ejaculatory dysfunction KW - infertility KW - lack of emission KW - retrograde ejaculation KW - sexual dysfunction SP - 1074 EP - 81 JF - Fertility and sterility JO - Fertil Steril VL - 104 IS - 5 N2 - A dry ejaculate (aspermia), may occur either because of an inability to transport semen (anejaculation) or because of an inability to ejaculate in an antegrade direction (retrograde ejaculation). The treatment of aspermia varies with underlying etiology and includes medical therapy with sympathomimetics, urinary sperm retrieval, bladder neck reconstruction, prostatic massage, penile vibratory stimulation, electroejaculation, and surgical sperm retrieval. A systematic review of the current literature was performed for articles on ejaculatory dysfunction related to dry ejaculate. However, the data are insufficient to allow firm comparisons between treatment options. Treatments must be tailored to the individual patient, and treatment decisions should involve consideration of ease of administration, degree of invasiveness, and anticipated success. SN - 1556-5653 UR - https://www.unboundmedicine.com/medline/citation/26432530/Management_of_the_dry_ejaculate:_a_systematic_review_of_aspermia_and_retrograde_ejaculation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0015-0282(15)01952-4 DB - PRIME DP - Unbound Medicine ER -