Where is the best place to treat retrograde ejaculation?

Patient's question:

Hello?? Where is the best place to treat retrograde ejaculation? Retrograde ejaculation is one of the causes of male infertility. It refers to a man with normal sexual desire, age 23, who can have normal sexual desire, can get erect, can have sexual intercourse, although there is also an ejaculation action and climax sensation, but no semen is expelled. After intercourse, a urine test can reveal a large number of sperm.?? Where is the best place to treat retrograde ejaculation

Doctor's answer:

Retrograde ejaculation is one of the causes of male infertility. It refers to a condition where a man has normal sexual desire, can achieve erection, and can engage in sexual intercourse. Although there is the action of ejaculation and the sensation of climax, no semen is expelled. A careful examination of urine after intercourse can reveal a large number of sperm. The incidence of retrograde ejaculation is higher than that of anejaculation, which is characterized by the absence of rhythmic contractions during ejaculation. The causes of retrograde ejaculation include dysfunction of the bladder neck's nerve regulation (such as diabetes, spina bifida), fibrosis of the seminal colliculus, urethral diverticula or stenosis, congenital urethral valves, surgical damage to the bladder neck's nerve control or surgical-induced bladder neck incompetence. Additionally, certain medications can also cause retrograde ejaculation (such as reserpine, guanethidine, phenformin, etc.).