Surgery for Ejaculatory Disorders
Ejaculatory duct obstruction is one of the surgically reversible causes of male infertility. Surgery for ejaculation obstruction can remove the obstruction.
Surgery for ejaculatory disorders
Symptoms of Ejaculatory Duct Obstruction
Patients are often not aware of underlying ejaculatory duct obstruction until they are investigated for infertility where they often have a low volume ejaculate with no sperm. Some patients have a history of ejaculatory pain or scrotal pain.
Investigations for Ejaculatory Duct Obstruction
The diagnosis is often obvious by performing a transrectal ultrasound of the prostate. In certain individuals additional imaging using MRI or a dynamic test using seminal vesiculography can be performed.
Treatment of Ejaculatory Duct Obstruction
Ejaculatory duct obstruction is one of the few surgically reversible causes of male infertility. By using endoscopic techniques to resect the tissue over the ejaculatory ducts, the obstruction can be relived. The majority of patients will notice an increase in the semen volume and also the presence of sperm in the ejaculate.
What to expect after surgery
As the procedure is performed endoscopically a catheter is left in the bladder overnight. Following the procedure there may be blood in the urine and ejaculate and patients also notice that the ejaculation is more watery.
The team at London Men’s Clinic offer a multidisciplinary approach in the management of men presenting with ejaculatory obstruction with close collaboration with pathologists and sexual health physicians. Complex cases are discussed jointly with experts in each field to ensure patients are provided with the highest standard of care.