Bladder Neck Collagen Injection in the Treatment of Congenital Retrograde Ejaculation: A Case Report

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dc.authorid0000-0001-5337-5226en_US
dc.authorid0000-0002-5430-6561en_US
dc.contributor.authorCakiroglu, Basri
dc.contributor.authorSinanoglu, Orhun
dc.contributor.authorArda, Ersan
dc.date.accessioned2024-07-12T21:46:04Z
dc.date.available2024-07-12T21:46:04Z
dc.date.issued2017en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractThe present study describes the first successful treatment of a congenital retrograde ejaculation case with a submucosal collagen injection to the bladder neck. A 28-year-old male (height 170 cm, weight 80 kg) attended to the urology outpatient clinic with complaints of scattered urine stream and absence of ejaculation. The laboratory tests, including hormone profile (follicle stimulating hormone, luteinizing hormone, and testosterone) and the routine blood count were within normal ranges, whereas semen analysis demonstrated a total absence of ejaculation. The analysis of post-ejaculate urine specimens revealed an elevated sperm concentration indicative of retrograde ejaculation. The cystoscopy was performed; the prostatic urethra was normal, the verumontanum was in the orthotopic position, and the bladder neck was wide opened. Dextranomer/hyaluronic acid copolymer (Deflux, 8 ml) was injected into the bladder neck at clock positions of one, five, seven, and 11 o'clock. During the same procedure, the large opening in the vesical collum was obliterated. During the first followup (four weeks after surgery), the patient was able to produce a normal (2.8 ml) ejaculation volume. The sperm analysis revealed normozoospermia, with 25 million spermatozoa/ml, 26% (a) and 57% (a + b) motility, and 14% normal morphology. The submucosal bladder neck collagen injection is a minimally invasive technique that quickly restores anterograde ejaculation and should be considered in the patients with congenital or acquired retrograde ejaculation and for those who did not respond to the medical treatment.en_US
dc.identifier.doi10.7759/cureus.1821
dc.identifier.issn2168-8184
dc.identifier.issue11en_US
dc.identifier.pmid29312842en_US
dc.identifier.urihttps://dx.doi.org/10.7759/cureus.1821
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7881
dc.identifier.volume9en_US
dc.identifier.wosWOS:000453651300010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherCUREUS INCen_US
dc.relation.ispartofCUREUSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00575
dc.subjectretrograde ejaculationen_US
dc.subjectbladder necken_US
dc.subjectcollagen injectionen_US
dc.titleBladder Neck Collagen Injection in the Treatment of Congenital Retrograde Ejaculation: A Case Reporten_US
dc.typeArticle
dspace.entity.typePublication

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