Practical application of color Doppler ultrasonography in patients with ejaculatory dysfunction

被引:5
作者
Hara, Ryoei [1 ]
Nagai, Atsushi [1 ]
Fujii, Tomohiro [1 ]
Fukumoto, Kazuhiko [1 ]
Ohira, Shin [1 ]
Jo, Yoshimasa [1 ]
Yokoyama, Teruhiko [1 ]
Miyaji, Yoshiyuki [1 ]
机构
[1] Kawasaki Med Sch, Dept Urol, Kurashiki, Okayama 7010192, Japan
关键词
anorgasmia; collagen injection; color Doppler ultrasonography; ejaculatory dysfunction; retrograde ejaculation; RETROGRADE EJACULATION; ANTEGRADE;
D O I
10.1111/iju.12754
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We describe two cases in which dynamic analysis of ejaculation using color Doppler ultrasonography was useful in diagnosis of ejaculatory dysfunction and planning of therapy. The first patient was a 32-year-old man with a diagnosis of retrograde ejaculation. A bladder neck collagen injection was carried out, as the main cause was thought to be the bladder neck remaining open during ejaculation. The patient had antegrade ejaculation 1week later. The second patient was a 48-year-old man with a diagnosis of anorgasmia accompanied by decreased seminal emission and insufficient function of the rhythmic pelvic striated muscles. The patient was prescribed etilefrine hydrochloride 15mg/day. The symptom improved 2weeks after starting this drug. These cases suggest that the use of color Doppler ultrasonography during ejaculation can improve the understanding of ejaculatory dysfunction and therapy for this condition.
引用
收藏
页码:609 / 611
页数:3
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