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Article1 December 1966Retrograde Ejaculation in Diabetic NeuropathyMAX ELLENBERG, M.D., F.A.C.P., HERBERT WEBER, M.D.MAX ELLENBERG, M.D., F.A.C.P.Search for more papers by this author, HERBERT WEBER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-65-6-1237 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRetrograde ejaculation as a complication of diabetes is unappreciated, unrecognized, and for the most part, clinically unknown. This paper records five such cases, documents this syndrome as a diabetic autonomic neuropathic manifestation, and indicates the sequential developments in relation to its pathogenesis.The most common cause of retrograde ejaculation is transurethral resection of the prostate, but it has been noted in inflammation, trauma, and congenital malfunction of the posterior urethra. With specific import in interpretation of our data, it is significant that retrograde ejaculation has been observed as a common accompaniment of bilateral sympathectomy in the surgical therapy of essential...References1. ALLENADSON EVAW: Physiologic effects of extensive sympathectomy for essential hypertension: further observations. Ann. Intern. Med. 11: 2151, 1938. LinkGoogle Scholar2. SINGH H: A case of inhibition of ejaculation as a side effect of Mellaril. Amer. J. Psychiat. 117: 1041, 1961. CrossrefGoogle Scholar3. GREENBERMAN MS: Failure of ejaculation produced by dibenzyline. Conn. Med. 18: 30, 1954. Google Scholar4. GREENEKELALISWEEKS LFPPRE: Retrograde ejaculation of semen due to diabetic neuropathy. Fertil. Steril. 14: 617, 1963. CrossrefMedlineGoogle Scholar5. ELLENBERGWEBER MH: The incipient asymptomatic diabetic bladder. In preparation. Google Scholar6. ELLENBERG M: Diabetic neuropathy: a consideration of factors in onset. Ann. Intern. Med. 52: 1067, 1960. LinkGoogle Scholar7. WHITELAWSMITHWICK GPRH: Some secondary effects of sympathectomy with particular reference to disturbance of sexual function. New Eng. J. Med. 245: 121, 1951. CrossrefMedlineGoogle Scholar8. RETIEF RJ: Physiology of micturition and ejaculation. S. Afr. Med. J. 24: 509, 1950. MedlineGoogle Scholar9. ELLENBERG M: Diabetic neurogenic vesical dysfunction. Arch. Intern. Med. (Chicago) 117: 348, 1966. CrossrefGoogle Scholar10. ODELROTHKEATING HMGMFR: Autonomic neuropathy simulating the effects of sympathectomy as a complication of diabetes mellitus. Diabetes 4: 92, 1955. CrossrefMedlineGoogle Scholar11. ELLENBERG M: Diabetic neuropathy, in Clinical Diabetes Mellitus, Chap. XXX, edited by ELLENBERG, M., RIFKIN, H. McGraw-Hill Book Co., Inc., New York, 1962. Google Scholar12. ELLENBERG M: Diabetic complications without manifest diabetes. Complications as presenting clinical symptoms. JAMA 183: 926, 1963. CrossrefGoogle Scholar13. ELLENBERG M: Diabetic neuropathy of the upper extremities. Diabetes. In press. Google Scholar14. RUBINBABBOTT AD: Impotence and diabetes mellitus. JAMA 168: 498, 1958. CrossrefMedlineGoogle Scholar15. KLEBANOWMACLEOD DJ: Semen quality and certain disturbances of reproduction in diabetic men. Fertil. Steril. 11: 255, 1960. CrossrefMedlineGoogle Scholar16. CHIMENES H: Personal communication. Google Scholar17. WALTERSKAUFMAN DMS: Sterility due to retrograde ejaculation of semen: report of pregnancy achieved by autoinsemination. Amer. J. Obstet. Gynec. 78: 274, 1959. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, New YorkFrom the Departments of Medicine and Urology, Mount Sinai Hospital, New York, N. Y.Requests for reprints should be addressed to Max Ellenberg, M.D., 936 Fifth Ave., New York, N. Y. 10021. 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LEVINE, M.D.Sexual impotence in manMale FertilityCorrection of Retrograde Ejaculation by Sympathomimetic Medication: Preliminary ReportThe PancreasPhenoxybenzamine in Neurogenic Bladder Dysfunction. I. A Theory of MicturitionCurrent status of diabetic neuropathyDie retrograde EjakulationSuccessful artificial insemination with spermatozoa recovered from the urine in a case of retrograde ejaculationDiabetic neuropathyDel Castillo-Syndrom kombiniert mit Diabetes mellitusImpotence in Diabetes: The Neurologic FactorMAX ELLENBERG, M.D., F.A.C.P.Disorders of the Nervous System in DiabetesSuccessful Artificial Insemination in a Diabetic with Retrograde EjaculationIII. PodiumsgesprächThe Physiology of the Internal Urinary SphincterDiabetic DiarrheaSexual responses to disease processes 1 December 1966Volume 65, Issue 6Page: 1237-1246KeywordsEjaculationHospital medicineInflammationNeuropathyPathogenesisSympathectomyUrology Issue Published: 1 December 1966 PDF DownloadLoading ...
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