Semen Korsakov refers to a medical condition known as retrograde ejaculation, wherein semen is redirected to the bladder during ejaculation instead of being expelled out of the penis. The term "semen Korsakov" is derived from the name of its discoverer, Sergey Korsakov, a Russian physician.
During normal ejaculation, the muscles in the pelvic region contract, pushing semen through the urethra and out of the penis. However, in cases of semen Korsakov, the muscles fail to close the bladder neck, allowing the semen to flow backward into the bladder. Consequently, the quantity of ejaculated semen is greatly reduced or may even completely disappear.
The causes of semen Korsakov can vary from injury or damage to the nerves, muscles, or structures involved in the ejaculation process. Certain medical conditions such as diabetes, multiple sclerosis, prostate surgery, or the use of certain medications may also contribute to this condition. While semen Korsakov itself does not pose a significant threat to one's health, it can cause infertility as the absence or reduction of semen in the ejaculate can hinder successful fertilization.
Treatment options for semen Korsakov depend on the underlying cause. Medications such as alpha-adrenergic agonists or sympathomimetic drugs may be prescribed to help tighten the muscles at the bladder neck. In some cases, techniques like sperm retrieval or assisted reproductive technologies such as in vitro fertilization (IVF) may be utilized to achieve pregnancy.
It is essential for individuals with semen Korsakov to consult with a healthcare professional to determine the appropriate treatment approach based on their specific circumstances.
