Ejaculation failure on the day of oocyte retrieval for IVF: Case report

Unexpected ejaculation failure on the day of oocyte retrieval for IVF occurs once or twice a year in our Reproductive Medicine Unit, where ∼500 oocyte retrievals are performed each year. Two clinical situations which occurred in 2001 are presented. In the first case, sperm were finally obtained by epididymal aspiration and resulted in the fertilization of five oocytes by ICSI. The transfer of two fresh embryos did not result in a pregnancy and the three supernumerary zygotes were cryopreserved. The male patient presented an anxio-depressive episode necessitating psychiatric hospitalization 1 week after the oocyte retrieval. In the second case, no sperm were obtained and the four oocytes were therefore lost. The couple went through a crisis in their relationship and tried another cycle of IVF 10 months later, after the preventive cryopreservation of a sperm sample. On the day of oocyte retrieval the patient was unable to produce a fresh sample but three zygotes were obtained through ICSI using the back-up cryopreserved sperm. Two embryos were transferred but no pregnancy ensued. The clinical decision-making processes for these two cases are described, as well as the measures employed to help prevent these unfortunate situation

Ejaculation précoce : possibilités thérapeutiques actuelles

L'éjaculation précoce est un trouble sexuel fréquent. Banal, il n'en demeure pas moins que ses conséquences sur l'entente au sein d'un couple peuvent être catastrophiques. Les alpha-bloquants, les inhibiteurs de la recaptation de la sérotonine, les injections intracaverneuses, les sexo psychothérapies ainsi que la chirurgie offrent plusieurs alternatives thérapeutiques. Le choix du traitement dépend des souhaits du patient et surtout de sa partenaire féminine

Urologie [Urology]

In prostatic cancer, PSA velocity is a reliable sign of cancer agressivity. In the metastatic prostatic cancer, there is no difference on survival between an early and late hormonal treatment. In the invasive bladder cancer néo-adjuvant chemotherapy offers a light advantage. In the kidney cancer, anti-angiogenic agents increase the survival. In the non neurogenic overactive bladder, no studies have led to relevant results in using antimuscarinic agent in the first line. The 5 phophodiesterase inhibitors used in the treatment of erectile dysfunction are also effective in the treatment of trouble induced by benign prostatic hyperplasia

Hyperplasie benigne de la prostate et troubles sexuels. [Benign prostatic hyperplasia and sexual dysfunction]

Lower urinary tract symptoms of benign prostatic hyperplasia, erectile dysfunction and ejaculatory disorders are often associated. The severity of sexual dysfunction is positively associated with increasing severity of urinary tract symptoms. Current treatment of BHP produce some effects, positive as well as negative, on the sexual function. It is important to remember this, when you choose a treatment for a patient who report regular sexual activity

Viagramania : Comment expliquer le phénomène ?

Le sildénafil marque un tournant dans la prise en charge des dysfonctions érectiles. Son efficacité et le fait qu'il soit actif per os expliquent son succès. Son arrivée ne relègue toutefois pas aux oubliettes les autres traitements (prostaglandine intracaverneuse et intra-urétrale, sexothérapie, chirurgie...). Les auteurs passent en revue les différents traitements disponibles actuellement et font le point sur le sildénafil et sa place dans l'arsenal thérapeutique

Urologie. La prevention du cancer de la prostate est possible. [Prostate cancer prevention]

The prevention of prostate cancer is conceivable. Finasteride, even though it diminishes the risk of cancer in the male adult, cannot be used as a prophylaxis in chemoprevention so far as we do not know if they produce more aggressive cancers. On the other hand, weight control, through a varied and balanced diet, rich in lycopene, soja beans, omega 3 acid, selenium, vit E, physical and sexual activity and no smoking are without risks, efficient and commendable