Retrograde ejaculation: Overview

Content Written By: Wayne J. Hellstrom, MD and Mathew Oommen

Retrograde Ejaculation (RE) is the misdirected propulsion of semen from the posterior urethra into the bladder instead of antegrade through the anterior urethra and out the urethral meatus. RE can either be complete, with a total absence of ejaculate, or partial, with preservation of a minimal amount of antegrade ejaculate. Patients will often present to a urologist with infertility or azospermia. Among all patients presenting for infertility, RE is found as the underlying cause in less than 2 percent of the cases, but is more frequent in patients with azospermia, accounting for 18 percent of the latter.

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