Update on medical treatment of ejaculatory disorders.

摘要: Among the treatment modalities for ejaculatory disorders pharmacological is least invasive option. In this review, medical treatments retrograde ejaculation (RE) and anejaculation (AE) are discussed systematically. Thirty-six studies dealing with patients RE 40 AE evaluated use of were included in review. addition four articles prostatic massage anejaculatory considered. Sperm quality often impaired. no differences response to could be detected between different underlying diagnoses. Compared ephedrine, imipramine chlorpheniramine + phenylpropanalamine showed significantly higher reversal rates, while other not significant. Regarding AE, alpha agonistic drugs inferior parasympathetic drugs. Of milodrin better rates than (p = 0.008), pseudoephidrine 0.02) ephedrine 0.044), all 0.4). conclusion, offers a realistic chance conceiving offspring naturally should modality first choice. contrast, cannot recommended generally as choice it shows low overall success compared electrovibration stimulation electroejaculation. Under consideration mostly uncontrolled design majority published, controlled clinical trials comparing options appear urgently warranted.