Patient's question:
Symptom Description: What diseases does ejaculation dysfunction indicate the presence of?Past Treatment History and Effect: What diseases does ejaculation dysfunction indicate the presence of?
Expected Help: What diseases does ejaculation dysfunction indicate the presence of?
Doctor's answer:
Here is the English translation of the provided text, with line breaks preserved as instructed:Urologist's Answer:
1. Testicular Disorders
Individuals with a history of undescended testes (i.e., testes that do not descend normally into the scrotum) have a significantly higher incidence of azoospermia. The incidence of azoospermia in bilateral undescended testes is twice as high as in unilateral cases. Even if these patients have sperm, their semen quality is abnormal, with a particularly significant increase in oligozoospermia.
Testicular injury—here, only cases with scrotal hematoma or hematuria are recorded, indicating testicular or urogenital tract damage in infertile patients. The incidence of azoospermia or abnormal semen in these patients is significantly increased.
Individuals with a history of testicular torsion are rare but often concurrent with azoospermia and oligozoospermia. Patients with orchitis and epididymitis caused by non-mumps have significantly reduced sperm density and motility. These patients also have smaller testicular volume and a higher incidence of accessory gland inflammation.
2. Urogenital Tract Diseases
Urogenital system inflammation often accompanies urethral symptoms, which include dysuria, frequency, urgency, hematuria, and difficulty urinating. The semen quality of these patients is often abnormal, particularly with lower sperm morphology and motility.
Urological