Anejaculation: Clinical and Etiological Aspects

<i>Introduction:</i> Anejaculation is the absence of ejaculation through the urethral meatus despite appropriate and prolonged sexual stimulation and a normal erection. It is an uncommon disorder that often results from several causes: organic, psychological, environmental, or even medication. The diagnostic approach to anejaculation requires an approach that focuses on the patient's clinical history, the existence of psychosocial triggers, and analysis of the disorder. The objective of this study was to describe the clinical and etiological aspects of anejaculation. <i>Patients and methods:</i> Retrospective and descriptive study collecting all cases of anejaculation between January 2016 and December 2023 at the Urology-Andrology Department of the Ouakam Military Hospital. Results: 19 files were collected concerning 11 patients with primary anejaculation and 8 patients with secondary anejaculation. Anejaculation was permanent in 17 cases and sporadic in 2 cases. Four patients reported touching and sexual intercourse at a young age. Sixteen patients were aware of their anejaculation and had mentioned it at the consultation, and for the remaining three patients, the reason for consultation was primary infertility. The causes were psychological (n=10), neurological (n=5), drug-related (n=3), and endocrine (n=1). <i>Conclusion:</i> Anejaculation is the least understood, least common, and least studied sexual disorder. The interview is a crucial time to define the characteristics of anejaculation and the guidelines for determining the cause.