Volpe A, Artini P G, Coukos G, Uccelli E, Marchini E, Genazzani A R
Department of Obstetrics and Gynecology, University of Modena Medical School, Italy.
J Reprod Med. 1992 Mar;37(3):219-20.
Retrograde ejaculation is an uncommon form of male infertility. It may occur in diabetics from neuropathy involving the sympathetic fibers innervating the bladder neck. Treatment of infertility in these cases is with artificial homologous insemination. Several techniques for semen recovery from the bladder have been proposed. This paper describes a case of twin pregnancy following direct intraperitoneal insemination (DIPI) of semen retrieved from a diabetic man with retrograde ejaculation. Retrieval of semen was performed in this case by spontaneous voiding of urine after the introduction of a suitable medium into the bladder and before ejaculation. The quality of the semen was examined after spontaneous urination before DIPI. The poor quality of the spermatozoa induced us to introduce into the bladder a suitable medium before ejaculation and sperm recovery.
逆行射精是男性不育的一种罕见形式。它可能发生在患有涉及支配膀胱颈部交感神经纤维的神经病变的糖尿病患者中。这些病例的不育治疗方法是人工同源授精。已经提出了几种从膀胱中回收精液的技术。本文描述了一例通过对一名患有逆行射精的糖尿病男性所采集精液进行直接腹腔内授精（DIPI）后出现双胎妊娠的病例。在该病例中，通过在膀胱内注入合适的介质后、射精前让尿液自然排出的方式来采集精液。在进行DIPI之前，对自然排尿后的精液质量进行了检查。精子质量较差促使我们在射精和回收精子之前向膀胱内注入合适的介质。
