Beth Israel Medical Center and the Albert Einstein College of Medicine of Yeshiva University, New York, NY 10003, USA.
Asian J Androl. 2012 Jul;14(4):525-9. doi: 10.1038/aja.2012.29. Epub 2012 May 14.
Ejaculatory dysfunction is a highly prevalent clinical condition that may be classified along a continuum that ranges from premature ejaculation (PE), through retarded or delayed ejaculation (DE), to complete anejaculation (AE). Retrograde ejaculation (RE) represents a distinct entity in which ejaculate is expelled either partially or completely into the bladder. While DE and PE are significant sources of sexual dissatisfaction among men and their partners, patients with these disorders retain normal fertility in most cases. Conversely, men with AE and RE are unable to deliver sperm into the female genital tract and are therefore rendered subfertile. Therefore, in reviewing ejaculatory disorders as they relate to fertility, this paper will primarily focus on the diagnosis and management of AE and RE. Physiology, diagnostic strategies, pharmacological treatments, and procedural interventions relevant to AE and RE are discussed.
射精功能障碍是一种高发的临床病症，可以沿着一个连续谱进行分类，从早泄（PE），到迟滞或延迟射精（DE），再到完全不射精（AE）。逆行射精（RE）是一种不同的病症，精液部分或完全被排入膀胱。虽然 DE 和 PE 是男性及其伴侣产生性不满的重要原因，但这些障碍患者在大多数情况下仍保持正常生育能力。相反，患有 AE 和 RE 的男性无法将精子输送到女性生殖道，因此他们的生育能力受到影响。因此，在审查与生育力相关的射精障碍时，本文将主要关注 AE 和 RE 的诊断和管理。本文讨论了与 AE 和 RE 相关的生理学、诊断策略、药物治疗和程序干预。
