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Atallah A. Shaaban<br />
27<br />
<strong>Basic</strong> <strong>Urology</strong><br />
C) Retrograde ejaculation is backflow of semen into the bladder<br />
due to incompetent bladder neck e.g. after bladder neck and<br />
prostatic surgery and in diabetic men.<br />
D) Anejaculation: Failure to ejaculate may result from:<br />
- Androgen deficiency.<br />
- Sympathetic denervation e.g. retroperitoneal lymph node<br />
dissection in testicular cancer.<br />
- Alpha-adrenergic blockers.<br />
- Bladder neck and prostatic surgery.<br />
- Diabetes mellitus.<br />
E) Anorgasmia is the inability to achieve orgasm during<br />
intercourse.<br />
Psychogenic<br />
Psychotropic drugs.<br />
Decreased penile sensation e.g. in diabetic neuropathy.<br />
3- Hematospermia:<br />
The presence of blood in seminal fluid is usually due to nonspecific<br />
inflammation of the prostate or seminal vesicles or after a<br />
prolonged sexual abstinence and resolves spontaneously within<br />
several weeks.<br />
Exclude tuberculosis and prostate cancer if hematospermia persists.<br />
4- Peyronie's disease: Curvature of the penis secondary to formation<br />
of fibrous plaques within the tunica albuginea.<br />
5- Priapism: Persistent or prolonged (>4h), painful, purposeless (in<br />
the absence of sexual stimulation) penile erection.<br />
6- Infertility is the inability to conceive after one year of unprotected<br />
sexual intercourse.
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