Ohl D A, Denil J, Bennett C J, Randolph J F, Menge A C, McCabe M
Department of Surgery, University of Michigan Medical Center, Ann Arbor.
J Urol. 1991 May;145(5):980-3. doi: 10.1016/s0022-5347(17)38507-5.
Transrectal electroejaculation was performed in 24 men who were anejaculatory from retroperitoneal lymphadenectomy. Of the men 23 had undergone retroperitoneal lymphadenectomy because of testis cancer. Seminal emission was achieved in all patients. In 21 patients greater than 10 x 10(6) progressively motile sperm with normal morphology were obtained. The average sperm count and motilities obtained were 289 x 10(6) and 18%, respectively, for the antegrade fractions, and 2,051 x 10(6) and 13%, respectively, for the retrograde fractions. Of the 3 azoospermic failures 2 had chemotherapy-induced testicular damage and 1 had carcinoma in situ of the remaining testis. A total of 19 couples underwent artificial insemination with electroejaculated sperm. There were 7 pregnancies achieved in 74 insemination cycles (36.8% of the couples conceived for a 9% cycle fecundity). Routine semen parameters could not predict which couples would be successful in achieving pregnancy. There were 2 first trimester spontaneous abortions. Five healthy children have been born. Electroejaculation is an excellent treatment for anejaculation that persists following retroperitoneal lymph node dissection.
对24例因腹膜后淋巴结清扫术而无射精功能的男性患者进行了经直肠电射精。这些男性中，有23例因睾丸癌接受了腹膜后淋巴结清扫术。所有患者均实现了射精。21例患者获得了形态正常、进行性活动精子数大于10×10⁶的精液。顺行射精部分获得的平均精子计数和活力分别为289×10⁶和18%，逆行射精部分分别为2051×10⁶和13%。在3例无精子症失败病例中，2例有化疗引起的睾丸损伤，1例对侧睾丸存在原位癌。共有19对夫妇接受了电射精精子人工授精。在74个授精周期中有7例妊娠成功（36.8%的夫妇受孕，周期受孕率为9%）。常规精液参数无法预测哪些夫妇人工授精能成功受孕。有2例孕早期自然流产。已出生5名健康儿童。经直肠电射精是治疗腹膜后淋巴结清扫术后持续存在的无射精症的一种极佳方法。
