Retrograde ejaculate means allowing semen to flow backward into the bladder and causing infertility, dark cloudy urine after ejaculation may be signs of this condition.

Numbers of causative factor are responsible for retrograde ejaculation, including inadequate chemical messenger, injury or surgical procedure, Diabetes Mellitus, alpha blocker drugs like terazosin hydrochloride, tamsulosin hydrochloride, prazosin hydrochloride, disease that effect the nerve  and idiopathic causes. An anatomical and physiological phenomena for normal ejaculation occur when there is contraction of the bulbar urethral and pelvic floor muscle simultaneously closure of the vesicle neck and coordinal relaxation of the external urinary sphincter is there.

Repeated semen analysis  reveals a semen volume less than 1 ml with macroscopically thin consistency and chemically an acid pH, zero sperm or very less number of sperm. Centrifuged sample of post ejaculate urine specimen microscopically shows numerous sperm. Semen analysis to be avoided when there is a state of sever anxiety with incomplete relaxation of the external urinary sphincter, abstinence period is short, bladder neck disease or bladder neck surgery. Sperm is absent in postejaculate urine one should continue with routine systemic evaluation for male infertility factor.

Achievement in treatment : to achieve antegrade ejaculation.