Division of Urology, Department of Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Division of Urology, Department of Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Fertil Steril. 2021 Sep;116(3):611-617. doi: 10.1016/j.fertnstert.2021.07.1199.
Ejaculatory dysfunction is not only psychologically distressing but can become a significant obstacle for men who wish to conceive. Dysfunction comes in the form of anejaculation, reduced ejaculation, retrograde ejaculation, painful ejaculation, or premature ejaculation. Most treatments for lower urinary tract symptoms related to benign prostatic hyperplasia, which commonly occurs in aging men, carry significant risks of absent, reduced, or retrograde ejaculation. This review focuses on such risks that accompany both the medical and surgical management of lower urinary tract symptoms/benign prostatic hyperplasia and how these risks impact male fertility.
射精功能障碍不仅会给人带来心理上的困扰,还可能成为那些希望生育的男性的一个重大障碍。这种障碍的表现形式包括:不射精、射精量少、逆行射精、射精疼痛或早泄。治疗与良性前列腺增生相关的下尿路症状的大多数方法,这些症状常见于老年男性,都会带来射精缺失、减少或逆行射精的显著风险。本文重点介绍了下尿路症状/良性前列腺增生的医学和手术治疗所带来的这些风险,以及这些风险如何影响男性生育能力。