Ejaculatory dysfunction is not only psychologically distressing but can become a significant obstacle for men who wish to conceive. Dysfunction comes in the form of anejaculation, reduced ejaculation, retrograde ejaculation, painful ejaculation, or premature ejaculation. Most treatments for lower urinary tract symptoms related to benign prostatic hyperplasia, which commonly occurs in aging men, carry significant risks of absent, reduced, or retrograde ejaculation. This review focuses on such risks that accompany both the medical and surgical management of lower urinary tract symptoms/benign prostatic hyperplasia and how these risks impact male fertility.

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前列腺增生治疗在射精功能障碍中的作用

射精功能障碍不仅在心理上令人痛苦，而且可能成为希望怀孕的男性的重大障碍。功能障碍以不射精、射精减少、逆行射精、射精疼痛或早泄的形式出现。大多数治疗与良性前列腺增生相关的下尿路症状（通常发生在老年男性中）都存在不射精、射精减少或逆行射精的重大风险。本综述重点关注伴随下尿路症状/良性前列腺增生的药物和手术治疗的此类风险，以及这些风险如何影响男性生育能力。