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U.S. News and World Report: America's Best Hospitals, Urology, 2012-13

 

Ejaculatory Problems

UW Health Urologist Dan Williams, MD, explains ejaculatory dysfunction.

 

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UW Health Urologists offer specialized treatment for ejaculatory dysfunction.
 
Ejaculatory dysfunction is among the most prevalent male sexual disorders.
 
Ejaculatory disorders are divided into 4 categories: early ejaculation, delayed ejaculation, retrograde ejaculation, and anejaculation/anorgasmia.
 
Early ejaculation is among the most common of the ejaculatory disorders.
 
Delayed ejaculation is when ejaculation is slow to occur, while retrograde ejaculation is when the ejaculate is forced back into the bladder rather than out through the urethra. Anejeculation refers to an inability to ejaculate.
 
Causes of Ejaculatory Dysfunction
 
There are many possible causes of ejaculatory dysfunction, including:
  • Aging
  • Psychological problems
  • Side effects from medication
  • Side effect of medical treatment for certain prostate conditions
  • The result of an injury, particularly spinal cord injuries
  • Cancer treatment
  • Abdominal surgery
  • Diabetes
  • Prostate problems
Treatment of Ejaculatory Dysfunction
 
Ejaculatory dysfunction does not necessarily require treatment, unless a couple wishes to initiate pregnancy or it is interfering with a couple's satisfaction.
 
For men who have problems with early ejaculation, there are both medical and behavioral treatments available.
 
For men who have had surgery, or have certain medical conditions, the primary treatment for ejaculatory dysfunction when treating male infertility problems is called electroejaculation, or EEJ.
 
Electroejaculation (EEJ) is a short procedure performed either in the clinic or under general anesthesia depending upon the man's neurological status. During the procedure, a probe is used to stimulate nerve fibers and induce the ejaculatory reflex. The success rate for retrieving sperm is quite high.
 
In rare cases when the ejaculate does not contain sperm, surgical sperm retrieval methods are available.