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Sympathetic Plexus/Retrograde Ejaculation
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Retrograde ejaculation (RE)
          • Bone morphogenetic protein (rhBMP)
        • Definitions

          • Surgical disruption of superior hypogastric plexus in retroperitoneal space around level of aortic bifurcation at lumbosacral junction
            • Major complication is retrograde ejaculation

        PATHOLOGY

        • Staging, Grading, & Classification

          • Gross Pathologic & Surgical Features

            CLINICAL ISSUES

            • Presentation

              • Natural History & Prognosis

                • Treatment

                  DIAGNOSTIC CHECKLIST

                  • Consider

                    Selected References

                    1. Carragee EJ et al: A critical review of recombinant human bone morphogenetic protein-2 trials in spinal surgery: emerging safety concerns and lessons learned. Spine J. 11(6):471-91, 2011
                    2. Kang JD: Commentary: Another complication associated with rhBMP-2? Spine J. 11(6):517-9, 2011
                    3. Kasliwal MK et al: Anhidrosis after anterior retroperitoneal approach for L4-L5 artificial disc replacement. J Clin Neurosci. 18(7):990-1, 2011
                    4. Smoljanovic T et al: Commentary: An evolving perception of the risk of rhBMP-2 use for anterior spinal interbody fusions. Spine J. 11(6):520-1, 2011
                    5. Smoljanovic T et al: Re: Sasso RC, Burkus JK, LeHuec JC. Retrograde ejaculation after anterior lumbar interbody fusion: transperitoneal versus retroperitoneal exposure. Spine (Phila Pa 1976) 2003;28:1023-6. Spine (Phila Pa 1976). 35(14):E622; author reply E623, 2010
                    6. Berg S et al: Sex life and sexual function in men and women before and after total disc replacement compared with posterior lumbar fusion. Spine J. 9(12):987-94, 2009
                    7. Kang BU et al: An analysis of general surgery-related complications in a series of 412 minilaparotomic anterior lumbosacral procedures. J Neurosurg Spine. 10(1):60-5, 2009
                    8. Lu S et al: Clinical anatomy study of autonomic nerve with respective to the anterior approach lumbar surgery. Surg Radiol Anat. 31(6):425-30, 2009
                    9. Gumbs AA et al: Revision open anterior approaches for spine procedures. Spine J. 7(3):280-5, 2007
                    10. Wagner WH et al: Access strategies for revision or explantation of the Charite lumbar artificial disc replacement. J Vasc Surg. 44(6):1266-72, 2006
                    Related Anatomy
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                    Related Differential Diagnoses
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                    References
                    Tables

                    Tables

                    KEY FACTS

                    • Terminology

                      • Pathology

                        • Clinical Issues

                          TERMINOLOGY

                          • Abbreviations

                            • Retrograde ejaculation (RE)
                            • Bone morphogenetic protein (rhBMP)
                          • Definitions

                            • Surgical disruption of superior hypogastric plexus in retroperitoneal space around level of aortic bifurcation at lumbosacral junction
                              • Major complication is retrograde ejaculation

                          PATHOLOGY

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Carragee EJ et al: A critical review of recombinant human bone morphogenetic protein-2 trials in spinal surgery: emerging safety concerns and lessons learned. Spine J. 11(6):471-91, 2011
                                      2. Kang JD: Commentary: Another complication associated with rhBMP-2? Spine J. 11(6):517-9, 2011
                                      3. Kasliwal MK et al: Anhidrosis after anterior retroperitoneal approach for L4-L5 artificial disc replacement. J Clin Neurosci. 18(7):990-1, 2011
                                      4. Smoljanovic T et al: Commentary: An evolving perception of the risk of rhBMP-2 use for anterior spinal interbody fusions. Spine J. 11(6):520-1, 2011
                                      5. Smoljanovic T et al: Re: Sasso RC, Burkus JK, LeHuec JC. Retrograde ejaculation after anterior lumbar interbody fusion: transperitoneal versus retroperitoneal exposure. Spine (Phila Pa 1976) 2003;28:1023-6. Spine (Phila Pa 1976). 35(14):E622; author reply E623, 2010
                                      6. Berg S et al: Sex life and sexual function in men and women before and after total disc replacement compared with posterior lumbar fusion. Spine J. 9(12):987-94, 2009
                                      7. Kang BU et al: An analysis of general surgery-related complications in a series of 412 minilaparotomic anterior lumbosacral procedures. J Neurosurg Spine. 10(1):60-5, 2009
                                      8. Lu S et al: Clinical anatomy study of autonomic nerve with respective to the anterior approach lumbar surgery. Surg Radiol Anat. 31(6):425-30, 2009
                                      9. Gumbs AA et al: Revision open anterior approaches for spine procedures. Spine J. 7(3):280-5, 2007
                                      10. Wagner WH et al: Access strategies for revision or explantation of the Charite lumbar artificial disc replacement. J Vasc Surg. 44(6):1266-72, 2006