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Table 6: Aetiology of anejaculation and retrograde ejaculation <>56] Neurogenic Pharmacological Spinal cord harm Antihypertensives, Thiazide diruetics Cauda equina lesions fi1-adrenoceptor antagonists Multiple sclerosis Antipsychotics and antidepressants Autonomic neuropathy (diabetes mellitus) Alcohol Retroperitoneal lymphadenectomy Antiandrogens Sympathectomy or aortoiliac surgical procedure Ganglion blockers Prostate, colorectal and anal surgery Endocrine Parkinsonfis illness Hypothyroidism Diabetes mellitus Hypogonadism Psychological/behavourial Hyperprolactinaemia Urethral Bladder neck incompetence Ectopic ureterocele Congenital defects/dysfunction of hemitrigone Urethral stricture Bladder neck resection (transurethral resection of the prostate) Urethral valves or verumontaneum hyperplasia Prostatectomy Congenital dopamine fi-hydroxylase deficiency 5. 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