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逆行射精是造成不育的原因之一。国外已广泛应用从膀胱内收集精液作人工授精的方法获得很高的成功率。1990年1月起,我院对一对男方患逆行射精而不育的夫妇采用收集膀胱内精液人工授精获得成功。现报告如下:患者,男,31岁,技术员,主诉婚后6年未育,同房“不射精”,手淫后尿内查见大量死、活精子。患者2岁8个月患左侧睾丸胚胎性腺癌,行左侧睾丸切除,腹膜后淋巴结清扫。诊断医源性逆行射精症,中药、针灸治疗3年未恢复顺行射精。妻,30岁,月经规则,连续3个月基础体温呈双相,排卵期宫颈粘液评分良好,碘油造影双侧输卵管通畅,B 超探头频率3.5兆赫,连续3个月测排卵先后见各侧成熟卵泡,授精于卵泡即将消失当日进行。授精前半小时嘱男方排空小便,给男方插导尿管清洗膀胱
Retrograde ejaculation is one of the causes of infertility. Abroad has been widely used to collect seminal fluid from the bladder for artificial insemination method to obtain a high success rate. January 1990, our hospital on a man with retrograde ejaculation and infertility couples to collect intrauterine sperm artificial insemination success. The report is as follows: The patient, male, 31 years old, technician, complained of six years of marriage after childbirth, the same room “does not ejaculate”, found a large number of dead urine after live masturbation, live sperm. Patients 2 years and 8 months with left testes embryonal adenocarcinoma, line left orchiectomy, retroperitoneal lymph node dissection. Diagnosis iatrogenic retrograde ejaculation, Chinese medicine, acupuncture treatment 3 years did not resume cis ejaculation. His wife, 30 years old, menstrual rules, for 3 consecutive months was based on biphasic body temperature, ovulation cervical mucus score was good, bilateral tubal lipiodol angiography patency, B-probe frequency of 3.5 MHz, 3 consecutive months of ovulation, see each side Mature follicles, fertilized in the follicle will disappear the same day. Half an hour before fertilization excuse the man emptying urine, the catheter inserted into the man to clean the bladder