Schröder K H, Krause W
Hautarzt. 1982 Jan;33(1):22-5.
Sixteen men with missing ejaculation were observed as outpatients in our department within the past years. Among these, four patients with retrograde ejaculation are included. Possible reasons for the missing ejaculation are operations in the genital region or the pelvis, and spinal cord injuries. Endocrine disorders, diabetes mellitus, drug dependence, and psychogenic alterations have to be discussed as etiologic factors. Secondary lack of ejaculation, which is acquired in later years of life, seems to have a poorer prognosis than the primary disease, which begins with puberty. This group of patients is well responsive to psychotherapy. Other therapeutic approaches are hormonal substitution, care of drug dependence, and treatment with sympathicomimetica in some cases of retrograde ejaculation.
在过去几年中，我们科室门诊观察了16例射精缺失的男性患者。其中包括4例逆行射精患者。射精缺失的可能原因是生殖区域或骨盆的手术以及脊髓损伤。内分泌紊乱、糖尿病、药物依赖和心理性改变也必须作为病因进行讨论。继发性射精缺乏在生命后期获得，其预后似乎比青春期开始的原发性疾病更差。这组患者对心理治疗反应良好。其他治疗方法包括激素替代、药物依赖治疗以及在某些逆行射精病例中使用拟交感神经药治疗。
