Može li se retrogradna ejakulacija izlečiti? (7375 pregleda)

13.12.2013 16:41 | Anonimni korisnik
Zanima me kako se leči retrogradna ejakulacija kod dijabetičara i da li je moguce izlečenje u potpunosti?

13.12.2013 16:51 |

Zvoncica

Svaki proces u muškom ogranizmu koji ometa peristaltičku funkciju semenovoda ili zatvaranje vrata mokraćne bešike može rezultirati retrogradnom ejakulacijom. Retrogradna ejakulacija se dijagnostikuje pregledom urina nakon ejakulacije. Nalaz više od 10-15 spermatozoida u vidnom polju mikroskopa ukazuje na moguću retrogradnu ejakulaciju i ako ove vrednosti nisu baš potpuno egzaktne.
Uzroke retrogradne ejakulacije delimo u anatomske i funkcionalne i to prevashodno u cilju procene efikasnosti planirane terapije. Tamo gde su razlozi uglavnom anatomski (resekcija vrata mokraćne bešike ili transuretralna resekcija prostate), uglavnom nema nikakvog odgovora na preduzetu terapiju. Međutim, u slučajevima neuroloških abnormalnosti, kakve se sreću kod šećerne bolesti, multiple skleroze ili tzv, retroperitonealne hirurgije, rezultati medikamentozne terapije su znatno bolji.
Davanje efedrin sulfata, psudoefedrina, ili imipramina podiže simpatički tonus unutrašnjeg sfinktera i semenovoda, što može dovesti do normalne ejakulacije. Ova tzv. simpatikomimetička terapija se može dobijati i preko usta i to 7 do 10 dana pre planirane ejakulacije, tako da se može uskladiti sa plodnim danima, odnosno ovulacijom kod partnerke.
Oni pacijenti koji ne odgovore na ovu vrstu lečenja, mogu se tretirati korišćenjem spermatozoida dobijenih iz urina nakon ejakulacije. Naravno da to podrazumeva jedan dosta komlikovan postupak pripreme mokraće, ali i obrade spermatozoida, nakon čega sledi veštačka inseminacija.
Kao još jedna mogućnost lečenja retrogradne ejakulacije, pa i u šećernoj bolesti, je elektoejakulacija koja podrazumeva plasiranje pulzirajućeg električnog izvora u periprostatični pleksus sa korišćenjem ili rektalne sonde ili iglenih elektroda.
I svega što sam naveo biće vam jasno da je lečenje retrogradne ejakulacije kod šečerne bolesti često jedan komplikovan i složen proces sa teško predvidljivim konačnim efektima.

09.08.2019 09:09 |

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