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Najčešći uzroci odsutnosti ejakulacije su kod starijih muškaraca operativni zahvati na vratu mjehura (transuretralna resekcija prostate), kod mlađih muškaraca prirođena odsutnost sjemenovoda i sjemenih mjehurića, psihološki razlozi ili operativni zahvati u retroperitoneumu. Rjeđe se odsutnost ejakulacije javlja kod šećerne bolesti te uz