Treatment of patients with retrograde ejaculation in the era of modern assisted reproduction technology.

PURPOSE

We determined a rational strategy for treatment of patients with retrograde ejaculation in the era of modern assisted reproduction technology.

MATERIALS AND METHODS

In 7 consecutive patients medical treatment or retrieval of spermatozoa from the bladder was performed at a male infertility clinic.

RESULTS

Antegrade ejaculation was restored in 3 patients, and spermatozoa were retrieved from the bladder and used for assisted reproduction in 3. Spermatozoa with good oolemma penetrating ability were collected by seminal vesicle massage.

CONCLUSIONS

Modern assisted reproduction technology is a powerful treatment option for retrograde ejaculation when combined with a technique to retrieve spermatozoa of good quality from the bladder.