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The effect of sympathomimetic drugs on post-lymphadenectomy aspermia.

Abstract
A double-blind controlled study of the effects on semen quality of 4 alpha-adrenergic agents with and without antihistamines was conducted in a patient who had failure of emission secondary to retroperitoneal lymphadenectomy for testis cancer. No other controlled studies are available. All of the alpha-adrenergic drugs allowed the patient to produce an ejaculate. The effects were similar. The addition of antihistamine did not improve the semen quality. Four days of treatment were consistently more effective than a single dose, especially for sperm motility. A pregnancy resulted. It is concluded that long-term treatment with alpha-adrenergic drugs is indicated in men with failure of emission secondary to retroperitoneal lymphadenectomy.
AuthorsK G Proctor, S S Howards
JournalThe Journal of urology (J Urol) Vol. 129 Issue 4 Pg. 837-8 (Apr 1983) ISSN: 0022-5347 [Print] United States
PMID6842716 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Sympathomimetics
  • Phenylpropanolamine
  • Chlorpheniramine
  • Ephedrine
  • Dextroamphetamine
Topics
  • Adult
  • Chlorpheniramine (therapeutic use)
  • Dextroamphetamine (therapeutic use)
  • Double-Blind Method
  • Drug Evaluation
  • Ephedrine (therapeutic use)
  • Humans
  • Lymph Node Excision (adverse effects)
  • Male
  • Oligospermia (drug therapy, etiology)
  • Phenylpropanolamine (therapeutic use)
  • Sympathomimetics (therapeutic use)

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