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Practical application of color Doppler ultrasonography in patients with ejaculatory dysfunction
Author(s) -
Hara Ryoei,
Nagai Atsushi,
Fujii Tomohiro,
Fukumoto Kazuhiko,
Ohira Shin,
Jo Yoshimasa,
Yokoyama Teruhiko,
Miyaji Yoshiyuki
Publication year - 2015
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.12754
Subject(s) - medicine , ejaculation , retrograde ejaculation , ultrasonography , urology , premature ejaculation , doppler effect , color doppler , erectile dysfunction , radiology , surgery , prostate , psychology , physics , cancer , astronomy , psychoanalysis
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 1 week 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 15 mg/day. The symptom improved 2 weeks 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.