Iudovskiĭ S O, Segal A S, Puzin M N
Urol Nefrol (Mosk). 1995 Jul-Aug(4):38-43.
43 patients suffering from anejaculation were treated in 1983-1993 in the department of andrology of the N. A. Semashko Medical Institute urological clinic. Most commonly anejaculation is caused by prostatic and bladder neck surgery (25.6%), diabetes mellitus (18.6%) and presents as retrograde ejaculation, impaired sperm emission into the urethra, aspermatism (51.2, 27.9, 20.9% of patients, respectively). The leading pathogenetic factors are peripheral neuropathy, surgical injury to the bladder internal sphincter, psychosexual disorders. The authors propose classification and algorithm of the patients' examination to facilitate and enhance diagnosis. Special attention should be given to the presence or absence of orgasm, after-orgasm occurrence of spermatozoa in urine. Anejaculation treatment outcomes remain unsatisfactory. Good responses were achieved with selective adrenomimetic gutron, laser therapy and electrovibration. Prevention of anejaculation should be given more attention.
1983年至1993年期间，43例患有不射精症的患者在N.A.谢马什科医学研究所泌尿外科男科门诊接受治疗。最常见的不射精原因是前列腺和膀胱颈部手术（25.6%）、糖尿病（18.6%），表现为逆行射精、精子向尿道内射出障碍、无精子症（分别占患者的51.2%、27.9%、20.9%）。主要的致病因素是周围神经病变、膀胱内括约肌手术损伤、性心理障碍。作者提出了患者检查的分类和算法，以促进和加强诊断。应特别注意有无性高潮、性高潮后尿液中是否出现精子。不射精症的治疗效果仍不尽人意。使用选择性肾上腺素能药物古特龙、激光治疗和电振动取得了良好效果。应更加重视不射精症的预防。
