- Title
- Retrograde ejaculation: a rare presenting symptom of Type 1 diabetes mellitus
- Creator
- Kam, Jonathan; Tsang, Venessa H.; Chalasani, Venu
- Relation
- Urology Case Reports Vol. 10, Issue January 2017, p. 9-10
- Publisher Link
- http://dx.doi.org/10.1016/j.eucr.2016.10.008
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2017
- Description
- 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.
- Subject
- sexual dysfunction; diabetes mellitus; diabetic autonomic neuropathy; retrograde ejaculation
- Identifier
- http://hdl.handle.net/1959.13/1353005
- Identifier
- uon:31002
- Identifier
- ISSN:2214-4420
- Rights
- © 2016 Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
- Language
- eng
- Full Text
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