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Ejaculatory Duct Obstruction


Ejaculatory duct or the passage of semen can get obstructed. It is a rare condition that can cause pain and male infertility.

What causes ejaculatory duct obstruction?

Ejaculatory duct obstruction can be either present by birth (congenital or inherited) or acquired later in life. Ejaculatory duct cysts are common congenital causes of the obstruction. On the other hand, the obstruction may be caused later in life due to infections, inflammation, or trauma.

What are the symptoms of ejaculatory duct obstruction?

The ejaculatory duct obstruction can present with infertility or pain. More specifically it can present with reduced force of ejaculation, low volume ejaculate, presence of blood in ejaculate, pain on or after ejaculation, testicular pain, low back pain. It can also be accompanied by urinary obstruction and painful passage of urine. It may also be present without any symptoms.

How is it diagnosed?

An ultrasound scan performed from inside the urinary passage (Transurethral ultrasound - TRUS) is used for the diagnosis of ejaculatory duct obstruction.

How to treat ejaculatory duct obstruction?

Ejaculatory duct obstruction is a rare but treatable cause of male infertility. A day case surgical procedure performed through urinary passage(Transurethral resection of the ejaculatory ducts) can be an effective treatment method for this condition. It allows the ejaculate to flow normally.

At ART Fertility Clinic, our experts evaluate and treat ejaculatory duct obstruction to restore normal flow. Book your appointment today.

The Takeaway

Ejaculatory duct or the passage of semen can get obstructed, leading to infertility or pain in men. It is either present by birth or acquired later in life from infection, inflammation of trauma to genital tract. It blocks or slows down the passage of semen, thereby reducing the number of sperm available to achieve pregnancy. This condition can be surgically treated to allow normal flow of semen and thereby restore fertility.

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