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Disorders of Ejaculation and Orgasm
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==== Emission'''<span style="color:#ff0000">[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9781084/]</span>''' ==== * '''<span style="color:#ff0000">Involves deposition of seminal fluid into the prostatic urethra</span>''' *'''<span style="color:#ff0000">Mediated by the sympathetic nervous system</span>''' *'''<span style="color:#ff0000">In response to cerebral stimulation, the thoracolumbar (T10-L2) sympathetic nerves stimulate contraction of</span>''' **'''<span style="color:#ff0000">Prostatic smooth muscle</span>''' **'''<span style="color:#ff0000">Seminal vesicles</span>''' **'''<span style="color:#ff0000">Vas deferens</span>''' *'''<span style="color:#ff0000">Allows sperm and seminal fluid to be deposited into the prostatic urethra.</span>''' **'''<span style="color:#ff0000">This results in swelling of the bulbar urethra</span>''' * '''<span style="color:#ff0000">Bladder neck closure occurs concurrently with emission</span>''' in response to alpha-sympathetic stimulation by the sympathetic innervations **'''Sympathetic nerve fiber damage, such as that which can occur during a RPLND, can result in failure of the bladder neck to contract effectively''' '''allowing semen deposited into the prostatic urethra to pass in a retrograde fashion into the bladder (i.e., RE).[https://pubmed.ncbi.nlm.nih.gov/33295257/ Β§]'''
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