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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Absence Of Semen In Urine, No Cloudiness After Cystoscopy, Taking Rapiflow, Hyophen. Could Something Have Happened During Cystoscopy?

I had a cystoscopy last Thursday due to having burning after urination for the past 7 years with no signs of infection. He suspected a stricture but found nothing during the exam. The overall experience was rather painful and he gave me Hyophen and Rapiflow to take. Yesterday I found out that I have no semen coming out. I was not informed of this common problem which I read up online. After climax I always urinate and read that semen goes into the bladder but I m not noticing any discoloration or cloudiness to the urine . Could something have happened during the cystoscopy to have caused this or does it just sound like the Rapiflow?
Mon, 23 Dec 2013
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Urologist,  's  Response
Hello
Thanks for your query,based on the facts that you have posted it appears that you have been taking Rapiflow for urinary problem .

Rapiflowis a drug that belongs to alpha blockers .These drugs relax smooth muscles in bladder
neck which remains open
.
During normal ejaculation bladder neck gets closed and sphincter urethra gets relaxed, this facilitates passing semen in urethra and prevents it from going backwards in bladder,
Where as when you take Alpha blockers your bladder neck remains open resulting in semen entering in to bladder instead of entering in to urethra .That is the reason you do not ejaculate semen per urethra.This is called as Retrograde ejaculation.
Since semen gets diluted in urine you can not see it in urine however this can be confirmed by presence of sperms in urine if urine analysis of urine passed after ejaculation.
Dr.Patil.
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Absence Of Semen In Urine, No Cloudiness After Cystoscopy, Taking Rapiflow, Hyophen. Could Something Have Happened During Cystoscopy?

Hello Thanks for your query,based on the facts that you have posted it appears that you have been taking Rapiflow for urinary problem . Rapiflowis a drug that belongs to alpha blockers .These drugs relax smooth muscles in bladder neck which remains open . During normal ejaculation bladder neck gets closed and sphincter urethra gets relaxed, this facilitates passing semen in urethra and prevents it from going backwards in bladder, Where as when you take Alpha blockers your bladder neck remains open resulting in semen entering in to bladder instead of entering in to urethra .That is the reason you do not ejaculate semen per urethra.This is called as Retrograde ejaculation. Since semen gets diluted in urine you can not see it in urine however this can be confirmed by presence of sperms in urine if urine analysis of urine passed after ejaculation. Dr.Patil.