逆行射精症诊疗中国专家共识  

Chinese expert consensus on the diagnosis and treatment of retrograde ejaculation

作　　者：中国医师协会生殖医学专业委员会生殖男科学组逆行射精症诊疗中国专家共识编写组 熊承良 洪锴 贺小进 耿浩 Chinese Expert Consensus Compilation Group for Diagnosis and Treatment of Retrograde Ejaculation,Reproductive Andrology Group,Reproductive Medicine Professional Committee of Chinese Medical Doctor Association;Xiong Chengliang;Hong Kai;He Xiaojin

机构地区：[1]不详 [2]安徽医科大学第一附属医院

出　　处：《中华生殖与避孕杂志》2023年第3期246-252,共7页Chinese Journal of Reproduction and Contraception

基　　金：国家重点研发计划(2021YFC2700901)。

摘　　要：逆行射精症是指射精时精液完全或者部分逆行进入膀胱,而导致完全无精液射出或者仅部分精液从尿道口射出的一种射精功能障碍,对于男性生育能力和性功能均会造成不利的影响。中国医师协会生殖医学专业委员会生殖男科学组组织了生殖男科领域的专家,从逆行射精症的定义、分类、病因、发病机制、诊断、鉴别诊断、治疗和助孕策略等方面进行了深入的探讨。推荐针对精液量少的男性进行射精后的尿液检查排除不完全性逆行射精症;推荐疑似逆行射精症患者进行糖尿病筛查;推荐拟交感神经药和抗胆碱能药用于逆行射精症的尝试性治疗;推荐对不同类型逆行射精症采用不同的取精方式获取精子用于人工辅助生殖技术助孕等。本共识可为从事男科学、生殖医学和辅助生殖技术的专业医务人员提供专业咨询和建议。Retrograde ejaculation is a kind of ejaculation dysfunction in which the semen completely or partially retrogradely enters into the bladder during ejaculation,resulting in no semen or only part of the semen being ejaculated from the external urethral orifice.Retrograde ejaculation is an important cause of male infertility and sexual dysfunction.The Reproductive Andrology Group of the Professional Committee of Reproductive Medicine of the Chinese Medical Doctor Association organized experts in the field of reproductive andrologist to conduct in-depth discussions on the definition,classification,etiology,pathogenesis,diagnosis,differential diagnosis and clinical treatment of retrograde ejaculation.Post-ejaculation urine test is recommended for men with low semen volume to identify incomplete retrograde ejaculation;diabetes screening is recommended for patients with suspected retrograde ejaculation;sympathomimetics and anticholinergics are recommended for treatment of retrograde ejaculation.It is also recommended to use different methods to retrieve sperm for assisted reproductive technology to rescue infertility.This consensus can provide expert consultation and advice for medical professionals engaged in reproductive medicine and andrology.

关 键 词：射精 紊乱 诊断 治疗 专家共识 

分 类 号：R698[医药卫生—泌尿科学]