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PubMed1985

Alternative to retroperitoneal lymphadenectomy with preservation of ejaculation and fertility in stage I nonseminomatous testicular cancer. A prospective study.

Twenty patients with clinical Stage I nonseminomatous testicular cancer have been staged by retroperitoneal exploration and removal of landing zone lymphatics. Only two patients had microscopic metastases to these landing zone lymphatics and underwent retroperitoneal lymph node dissection. Two patients developed chest metastases in 2 to 5-year follow-up. All patients had preservation of ejaculation and their fertility status. This relatively brief surgical staging avoids the complications of a formal lymphadenectomy with 100% survival, and cost-effectiveness with excellent quality of life due to minimal complications.

Adult↗
PubMed1984

A cytochemical study on surface charges and lectin-binding sites in epididymal and ejaculated spermatozoa of Macaca fascicularis.

Changes in electronegative and electropositive surface charges and in lectin receptors (concanavalin A and wheat germ agglutinin) were investigated on sperm plasma membranes of the monkey (Macaca fascicularis) during epididymal transit and after ejaculation. Electronegative charges at pH 1.8, which were uniformly distributed on the whole plasma membrane of caput epididymal spermatozoa, increased mainly on the postacrosomal cap and the tail during epididymal passage. Electropositive charges at pH 9 were simultaneously found on the whole cell surface of caput epididymal spermatozoa with a stronger labeling on the acrosomal apex, the postacrosomal cap, and the tail. These charges disappeared during passage through the epididymis corpus. The surface distribution of lectin receptors varied inversely during epididymal transit with an increase in concanavalin A receptors and a decrease in wheat germ agglutinin receptors. These data show that changes in the monkey sperm plasma membrane during epididymal maturation occur in the distal corpus of the epididymis.

Animals↗
PubMed2001

Anatomical and functional connections among cell groups in the gerbil brain that are activated with ejaculation.

Based on Fos expression, four areas of the gerbil brain are activated with ejaculation, i.e., the posterodorsal preoptic nucleus (PdPN), the lateral part of the posterodorsal medial amygdala (MeApd), the medial cell group of the sexually dimorphic preoptic area (medial SDA), and the parvicellular part of the subparafascicular thalamus (SPFp). The SPFp and medial SDA also express Fos earlier in the context of mating. To study connections among these areas, we injected one with FluoroGold and assessed the colocalization of FluoroGold and mating-induced Fos in the others. To determine if any of these areas activates the others, we lesioned one unilaterally and measured mating-induced Fos ipsilaterally and contralaterally in the others. Half of the SPFp cells projecting to the medial SDA, PdPN, and MeApd were activated with mating. SPFp lesions also decreased Fos expression in those areas. However, those areas do not project to the SPFp or affect its Fos expression with mating. Projections from the lateral MeApd to the medial SDA and PdPN, and from the medial SDA to the lateral MeApd, were also activated with mating, but lesions in these areas did not affect Fos expression in the others. Because 32-50% of the mating-activated cells in the SPFp participated in each SPFp projection identified, projections may have been identified for all of the mating-activated cells in the SPFp. In contrast, most of the mating-activated cells in the lateral MeApd, PdPN, and medial SDA do not participate in any projection studied, suggesting that they are either interneurons or project elsewhere.

Amygdala↗
PubMed2006

Social phobia and premature ejaculation: a case-control study.

In a previous case-control study, we found marked differences between a group of patients with male sexual disorders and a control group without any sexual disorder regarding the percentage of social phobia (SP) in each group. On this basis, our aim in this study was to test the hypothesis that premature ejaculation (PE) as a specific sexual disorder and SP might be strongly related, by comparing subjects with PE to a control group without any sexual disorder regarding the diagnosis of SP. Subjects with PE were recruited at private practice sexology settings in France. Control subjects were recruited among inpatients in a surgical ward. Diagnosis of SP was made with the Composite International Diagnostic Interview. Diagnosis of PE was clinician-rated according to DSM-IV criteria. Eighty-five subjects with PE only were compared to 93 control subjects without any sexual disorder. Forty (47%) subjects with PE versus 8 (9%) controls were diagnosed with SP (chi(2)=3.35, df=1, P=.001). Logistical analysis showed that SP and PE were strongly associated (odds ratio=10.97, 95% CI=4.49-26.06; chi(2)=28.28, df=1, P=.0001). This study is the first to show a clear relationship between SP and PE. Although requiring confirmation by further studies, this finding has immediate clinical consequences given that SP and PE can be treated by the same medication, a selective serotonin-reuptake inhibitor (SSRI). Moreover, since SP is a likely risk factor for PE, this might argue for preventive action on both disorders in children.

Adult↗
PubMed1982

Cytochemical demonstration that acrosin is unavailable in intact ejaculated boar and bull spermatozoa.

The cytochemical localization of acrosin (EC 3.4.21.10) was investigated using a fluorescent technique, based on the use of fluorogenic substrates, derivatives of 4-methoxy-beta-naphthylamine, which liberate a fluorescent tag that, if coupled to 5-nitrosalicylaldehyde, generates an insoluble, fluorescent product. From the data obtained from boar and bull spermatozoa that had been subjected to different treatments, we have found that the acrosomal, trypsinlike proteinase is practically inaccessible in intact, freshly ejaculated spermatozoa. Acrosin activity was detected after subjecting the spermatozoa to a treatment that simulates the process they undergo at the moment of fertilization, showing a particulate localization in the acrosome of some of the spermatozoa.

Acrosin↗
PubMed1989

Transrectal ultrasonography as a method to monitor canine prostatic size in situ: measurements following endocrine manipulation and ejaculation.

Transrectal ultrasonography was utilized to estimate canine prostatic size in situ following various experimental manipulations. By the use of dogs (n = 24) of various endocrine states, whose true prostatic weight varied from 2.28 to 73.25 g, a highly significant correlation (r = 0.99; P less than 0.0001) was obtained between actual prostate weight determined gravimetrically and that estimated by ultrasound. The relationship between these two parameters was described by the regression equation: estimated prostatic weight (g) = 1.11 x gravimetric weight (g) - 0.12. In addition, prostatic weight as estimated by ultrasound was comparable (P less than 0.10) to that estimated by direct caliper measurement. The coefficient of variation associated with repeated ultrasound measurements averaged 8.88 +/- 2.31% (mean +/- SD; n = 5). Ejaculation induced by either digital massage or pilocarpine administration (0.7 mg/kg, i.v.) had no effect on prostatic weight as estimated by ultrasound. These results demonstrate that transrectal ultrasonography can accurately estimate and detect differences in prostate size owing to various experimental manipulations without the need for surgical intervention.

Animals↗
PubMed1995

Exposure to TCDD during development permanently alters reproductive function in male Long Evans rats and hamsters: reduced ejaculated and epididymal sperm numbers and sex accessory gland weights in offspring with normal androgenic status.

Prenatal administration of relatively low doses of TCDD alters reproductive development and fertility of the progeny. Fertility was reduced in the progeny of Wistar rats exposed to 0.5 micrograms TCDD/kg/day from Gestational Day (GD) 6 to GD 15. In a three-generation reproduction study, TCDD reduced fertility of Sprague-Dawley rats in the F1 and F2 but not the F0 (no developmental exposure) generation at 0.01 microgram/kg/day in the diet. Furthermore, administration of TCDD on GD 15 (at 0.064 to 1 microgram/kg) both demasculinized and feminized morphology and behavior of Holtzman male rat offspring. Our objectives were to expand the observations of Mably et al. (1992, Toxicol, Appl. Pharmacol. 114, 97-107, 108-117, 118-126) on the effects of gestational administration of a single dose of TCDD to another strain of rat and another species, the hamster. In the first study, Long Evans (LE) hooded rats were dosed by gavage with 1 microgram TCDD/kg on GD 8 (during the period of major organogenesis) or GD 15 (the gestational day used by Mably et al.). In the second study, pregnant Syrian hamsters, a species relatively insensitive to the lethal effects of TCDD, were dosed on GD 11, equivalent to GD 15 in the rat, with TCDD at 2 micrograms/kg. When LE rats were dosed on GD 15, or when hamsters were dosed on GD 11, puberty (preputial separation) was delayed by about 3 days, ejaculated sperm counts were reduced by at least 58%, and epididymal sperm storage was reduced by 38%. Testicular sperm production was less affected. The sex accessory glands were also reduced in size in LE rat offspring treated on GD 15 despite the fact that serum testosterone (T), T production by the testis in vitro, and androgen receptor (AR) levels were not reduced. Some reproductive measures, such as anogenital distance and male sex behavior, were altered by TCDD treatment in rat but not hamster offspring. Since T and AR levels appeared normal in the sex accessory glands and the epididymis following perinatal TCDD exposure, the alterations in these tissues are not likely to have resulted from an alteration of the androgenic status of the male offspring.

Aging↗
PubMed1979

Pituitary gonadal system function in patients with erectile impotence and premature ejaculation.

The pituitary testicular system was studied in men with psychogenic impotence. Eight patients with primary erectile impotence age 22--36 years, eight men with secondary erectile impotence age 29--55 years, and 16 men with premature ejaculation age 23--43 years were studied. The last group was further divided into two subgroups: E1 (n = 7) patients without and E2 (n = 9) patients with anxiety and avoidance behavior toward coital activity. Sixteen normal adult men age 21--44 served as a control group. Diagnosis was made after psychiatric and physical examinations. Patients complaining primarily of loss of libido were not considered in the study. Ten consecutive blood samples were obtained over a period of 3 hr from each patient. Luteinizing hormone (LH), total testosterone, and free (not protein-bound) testosterone were measured. Statistical analysis revealed no significant differences between patients and normal controls.

Adult↗
PubMed1979

Treatments of premature ejaculation and psychogenic impotence: a critical review of the literature.

Research on the treatments of premature ejaculation and psychogenic impotence is reviewed. Problems with the existing definitions of these disorders are discussed. The studies are reviewed under seven major headings: depth therapies, behavior therapies, hypnosis, drug therapy, mechanotherapy, reeducative and supportive therapies, and extensive retraining programs. Most of the studies were case reports. Considerable methodological weaknesses were found, most notably the failure to specify subject and treatment variables, the confounding of treatment methods, inadequate or nonexistent control groups, limited, if any, follow-up assessments of treatment effects, and a failure to obtain partner validation of subjects' progress. The studies which used systematic desensitization and the studies which assessed the extensive retraining programs reported the most consistently positive results, although better-controlled replications are needed. Among other issues, it was suggested that future investigators examine the impact of treatment of homogeneous samples and conduct controlled comparisons of different treatment methods.

Artificial Organs↗
PubMed1985

EEG during masturbation and ejaculation.

The occurrence of a distinctive EEG pattern specifically related to sexual arousal and orgasm would provide a reliable and convenient means of identifying such events in the laboratory and would also provide clues to cerebral structures involved in the processes. EEG-polygraph recordings were obtained under rigorously controlled conditions in four normal male subjects during masturbation and ejaculation. The EEG data were subjected to both impressionistic and quantitative analyses. They showed no remarkable changes during the sequence of relevant physiological responses. The sole effect was a slight depression of alpha activity, a well-known nonspecific effect associated with changes in attention and arousal. Examination of the literature shows little agreement among reported results of studies of EEG changes during orgasm. It is likely that at least some reported changes were artifactual. It is concluded that the case for the existence of EEG changes specifically related to sexual arousal and orgasm remains unproven.

Adult↗
PubMed1986

Indirect behavioral treatment of erectile failure and premature ejaculation in a man without a partner.

Premature ejaculation and erectile failure in a 54-year-old man were treated by a combination of exposure in vivo and social skills training. The intervention was not aimed directly at the dysfunctional sexual response but at features of the patient's interpersonal behavior hypothesized to be instrumental in maintaining it. Change was assessed on the basis of the patient's records of weekly rate of successful intercourse, performance of target behaviors, and associated anxiety within a single-case multiple baseline design. Change occurred only with the introduction of treatment and not before it, ruling out the effect of mere therapeutic contact or passage of time. The intervention resulted in an increased rate of performance of adaptive social targets in real life, a decrease in associated anxiety, and eventually a correlated moderate increase in the rate of successful intercourse. The outcome maintained for 1-year follow-up. Systematic data collection was discontinued after 6 months.

Anxiety↗
PubMed2003

Evolution of the hominoid semenogelin genes, the major proteins of ejaculated semen.

The hominoid primates (apes and humans) exhibit remarkable diversity in their social and sexual behavioral systems. This is reflected in many ways in their anatomy and physiology. For example, the testes and seminal vesicles are relatively large in species with high sperm competition like the chimpanzee and small in species with low or no sperm competition like the gorilla. Additionally, the chimpanzee is the only hominoid primate known to produce a firm copulatory plug, which presumably functions in sperm competition by blocking insemination of subsequent males. Here we examine the molecular evolution of the semenogelin genes (SEMG1 and SEMG2), which code for the predominant structural proteins in human semen. High molecular weight complexes of these proteins are responsible for the viscous gelatinous consistency of human semen; their rodent homologs are responsible for the formation of a firm copulatory plug. Chimpanzees have an expanded SEMG1 gene caused by duplications of tandem repeats, each encoding 60 amino acids, resulting in a protein nearly twice as long as that of humans. In contrast, at both SEMG1 and SEMG2 we observed several gorilla haplotypes that contain at least one premature stop codon. We suggest that these structural changes in the semenogelin proteins that have arisen since the human-chimpanzee-gorilla split may be responsible for the physiological differences between these species ejaculated semen that correlate with their sociosexual behavior.

Animals↗
PubMed1989

Gossypol inhibition of Ca++ uptake and Ca++-ATPase in human ejaculated spermatozoal plasma membrane vesicles.

Gossypol, a plant-derived polyphenolic compound known to exert contraceptive actions in men, inhibits Ca++-transport and Ca++-activated ATPase in isolated plasma membranes of ejaculated human sperm cells. It also inhibits the membrane bound Mg++- and Na+ + K+-dependent ATPases, 5'-nucleotidase and alkaline phosphatase systems. Ca++-ATPase inhibition by gossypol is non-competitive. It abolishes the discontinuity in Arrhenius expression of temperature dependence of Ca++-ATPase and increases the energy of activation. Phosphatidyl choline and Na+-deoxycholate inhibit Ca++-transport activity in the membrane vesicles. The apparent similarity of Ca++-transport inhibition by gossypol and phosphatidyl choline may indicate the possible capability of this compound to induce changes in the lipid microenvironment of the membranes, wherein the integral proteins operate. Inhibitory effect of gossypol on the plasma membrane Ca++-pump suggests that gossypol may affect sperm motility by a mechanism which is related to the structure and functions of the plasma membrane.

5'-Nucleotidase↗
PubMed1983

ATP contents of human semen, seminal plasma and isolated sperm at time intervals after ejaculation.

1. ATP was estimated in 105 samples of human semen, seminal plasma and sperm of normozoospermic and oligozoospermic origins at time intervals after ejaculation. 2. In semen with sperm counts up to 40 millions per ml and in seminal plasma, ATP levels were lower than in specimens with higher sperm counts. 3. In isolated sperm, the ATP content decreased with the increase in sperm density. 4. The decrease in ATP after 24 hr was the highest in sperm, lower in semen and the lowest in seminal plasma, being maximal in specimens with high sperm counts.

Adenosine Triphosphate↗
PubMed1992

Immunohistochemical localization of phospholipase A2 in the bovine seminal vesicle and on the surface of the ejaculated spermatozoa.

1. Approximately 150-fold purified phospholipase A2 (PLA2) from bovine seminal vesicle fluid was injected into rabbit to prepare antibodies. 2. Produced antisera blocked PLA2 activity in bovine seminal plasma, seminal vesicles and its fluid and it gave single precipitation lines with the same samples. No cross-reactivity was detected with other reproductive tissues of bull as well as human seminal plasma. 3. Using indirect peroxidase technique PLA2 was localized in the apical part of epithelia cells of the bull seminal vesicle and also some minor immunohistochemical reactions were observed in the tubular lumen. Indirect peroxidase staining gave weak or no reaction at all to seminal vesicles of immature bulls. This suggests that the enzyme may be under hormonal control. 4. By indirect immunofluorescence method ejaculated spermatozoa of bull revealed immunoreaction which was not uniform and it was restricted to the middle piece, acrosome as well as postacrosomal region, but no specific immunostaining could be found on the surface of the epididymal spermatozoa. 5. Enzyme visualization by immunoelectron microscopic labelling showed a predominant localization in membrane particles inside the lumen of bovine seminal vesicle but some gold particles were also seen in granules, larger vacuoles and in cytoplasm of epithelia cells.

Animals↗
PubMed1979

A polygraphic analysis of mounting and ejaculation in the New Zealand white rabbit.

The duration and intensity of some components of the male copulatory pattern was studied in ten male (seven experienced, three inexperienced) and two female New Zealand white rabbits by using high speed cinematography, accelerometry and by recording the pressure of the seminal vesicles. Duration of mounts varied greatly within and among subjects. Effective mounts, i.e., those terminating in ejaculation, lasted less (2.61 +/- 1.50 sec, mean +/- SD; n, 59) than ineffective mounts (3.08 +/- 2.16 sec, mean +/- SD; n, 199). Frequency of pelvic thrusting was significantly higher in effective (13.54 +/- 1.11 sec, mean +/- SD; n, 59) than in ineffective mounts (12.08 +/- 0.98 sec, mean +/- SD; n, 176). No pelvic thrusting occurred during intromission which usually lasted less than one second (722 +/- 266 msec SD; n, 43). Shortly after intromission (230 +/- 107 msec, mean +/- SD; n, 32) the pressure of the seminal vesicles raised. This rise in pressure outlasted copulation (1040 +/- 369 msec, mean +/- SD; n, 32). The mounting pattern of inexperienced rabbits was similar to that of experienced rabbits. The mounting pattern of females differed from that of males both in rate of pelvic thrusting and duration of pelvic thrusts.

Animals↗