| 标题： | 逆行射精症诊疗中国专家共识 |
| title： | Chinese experts’ consensus on the diagnosis and treatment of retrograde ejaculation |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 专家共识 |
| classification： | Experts consensus |
| 领域： | 诊疗 |
| field： | Diagnosis and Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 从事生殖医学、男科学的专业医务人员 |
| Guide users： | Medical professionals engaged in reproductive medicine and andrology |
| 证据分级方法： | GRADE |
| Evidence grading method： | GRADE（grading of recommendations assessment，development and evaluation） |
| 制定单位： | 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 |
| Formulating unit： | Chinese Expert Consensus Compilation Group for diagnosis and treatment of retrograde ejaculation, Reproductive Andrology Group, Reproductive Medicine Professional Committee of Chinese Medical Doctor Association |
| 注册时间： | 2022-06-16 |
| Registration time： | |
| 注册编号： | IPGRP-2022CN342 |
| Registration number： | |
| 指南制订的目的： | 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，从逆行射精的定义、分类、病因、发病机制、诊断、鉴别诊断和治疗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；推荐疑似逆行射精患者进行糖尿病筛查；推荐肾上腺素能兴奋药和抗胆碱能药用于逆行射精的尝试性治疗；推荐采用不同方式的取精技术获取精子用于逆行射精患者的人工辅助生殖技术治疗等。本共识可谓从事生殖医学、男科学的专业医务人员提供专家咨询和建议。 |
| Purpose of the guideline： | Retrograde ejaculation belongs to a kind of ejaculation dysfunction in which the semen completely or partially retrogradely enters the bladder during ejaculation, resulting in no semen or only part of the semen being ejaculated from the external urethral orifice, which adversely affects male fertility and sexual function. The Reproductive Andrology Group of the Professional Committee of Reproductive Medicine of the Chinese Medical Doctor Association organized experts in the field of reproductive andrology to conduct in-depth discussions on the definition, classification, etiology, pathogenesis, diagnosis, differential diagnosis and 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; adrenergic stimulants and anticholinergics are recommended for treatment of retrograde ejaculation.It is also recommended to use different methods to retrieve sperm for artificial assisted reproductive technology treatment of patients with retrograde ejaculation. This consensus can provide expert consultation and advice for medical professionals engaged in reproductive medicine and andrology. |
