Retrograde Ejaculation: A Rare Presenting Symptom of Type 1 Diabetes Mellitus

Urology Case Reports

Venessa H. Tsang¹  Jonathan Kam²  Venu Chalasani² 

[1] Department of Endocrinology, Royal North Shore Hospital, St Leonards, Sydney, Australia;Northern Sydney Local Health District, Sydney, Australia;

关键词: Sexual dysfunction;    Diabetes mellitus;    Diabetic autonomic neuropathy;    Retrograde ejaculation;   

DOI  :  10.1016/j.eucr.2016.10.008

来源: DOAJ

【 摘 要 】

A 19 year old presented with a progressive decline in ejaculate volume over 2 weeks, followed by a complete absence of ejaculate emission. A post-ejaculatory urine specimen demonstrated spermatozoa confirming a diagnosis of retrograde ejaculation. Investigations revealed a raised blood glucose level of 24.5 mmol/L and HbA1c >15%, with positive tests for anti-GAD antibodies and anti-IA2 antibodies consistent with a diagnosis of Type 1 diabetes mellitus. Retrograde ejaculation in diabetes is associated with autonomic neuropathy and is a late feature of the disease. This case is unique with retrograde ejaculation being the primary presenting symptom of Type 1 diabetes mellitus.

【 授权许可】

Unknown