Patient's question:
Patient is male, healthy before the age of 24.Condition:
There is sexual climax and ejaculation, but the semen flows into the bladder, with no semen discharge from the urethral opening.
Doctor's answer:
Treatment of Retrograde Ejaculation with Medication: It is only effective when the bladder neck structure is intact and functional, such as in patients with diabetes or autonomic neuropathy. Medications can enhance stimulation, promoting bladder neck closure. However, it is ineffective in cases of congenital wide bladder neck or after bladder neck surgery. Medications with antihistamine and anticholinergic effects, such as brophenipram, imipramine, nortriptyline, and ephedrine, have a certain therapeutic effect.