摘要
<正>患者,男,33岁,婚后未避孕未育3年。无外伤手术史,无高血压病、糖尿病等慢性疾病,未服用特殊药物。患者在外院检查精液中未见精子,曾诊断为无精子症,予以他莫昔芬和"中成药"治疗。药物治疗1个月后复查精液中出现精子,精液量1.7ml,精子浓度6.6×10~6/ml。但是继续药物治疗1个月后复查,精液中再次无精子,本次精液对应的精浆生化果糖2.074×10~(-3) mmol,锌8.738×10~(-3) mmol,
引文
1 Jefferys A,Siassakos D,Wardle P.The management of retrograde ejaculation:a systematic review and update[J].Fertil Steril,2012,97(2):306-312.
2董翠莲,杜丕波,庄岳鹏.抗高血压药致逆行射精1例[J].中国男科学杂志,2014,28(8):56-56.
3 Ariagno J I,Mendeluk G R,Pugliese M N,et al.The only presence of sperm in urine does not imply retrograde ejaculation[J].Arch Androl,2005,51(6):431-436.
4 Parnham A,Serefoglu E C.Retrograde ejaculation,painful ejaculation and hematospermia[J].Transl Androl Urol,2016,5(4):592-601.
5葛华.盐酸坦索罗辛治疗不同体积BPH的疗效及安全性评价[J].临床泌尿外科杂志,2011,26(3):239-240.
6 Brackett N L,Ibrahim E,Iremashvili V,et al.Treatment for Ejaculatory Dysfunction in Men With Spinal Cord Injury:An 18-Year Single Center Experience[J].J Urol,2010,183(6):2304-2308.
7 Soler J M,Previnaire J G,Plante P,et al.Midodrine improves ejaculation in spinal cord injured men[J].J Urol,2007,178(5):2082-2086.
8沈海祥,谢立平.良性前列腺增生的微创治疗新技术[J].临床泌尿外科杂志,2018,33(4):290-294.
9 Hershlag A,Schiff S F,DeCherney A H.Retrograde ejaculation[J].Hum Reprod,1991,6(2):255-258.
10 Practice Committee of the American Society for Reproductive Medicine.Diagnostic evaluation of the infertile male:a committee opinion[J].Fertil Steril,2015,103(3):e18-e25.
11 Mehta A,Jarow J P,Maples P,et al.Defining the"normal"postejaculate urinalysis[J].J Androl,2012,33(5):917-920.
12 Xiao Y.Treatment of functional retrograde ejaculation with acupuncture and TCM herbal drugs[J].J Tradit Chin Med,2002,22(4):286-287.