Ejaculatory Duct Dysfunction and Lower Urinary Tract Symptoms: Chronic Prostatitis

Abstract

Chronic pelvic pain syndrome (CPPS) is the most prevalent form of prostatitis. It is characterized by pelvic pain, voiding symptoms, and ejaculatory symptoms in the absence of bacterial infection. This can be a difficult condition to treat. Many etiologies for CPPS have been proposed including immunologic, neurologic, endocrine, and psychological factors. This article examines a potentially correctable condition that may lead to CPPS, ejaculatory duct obstruction (EDO). EDO is easily correctable with minor surgery. In patients with symptoms of CPPS with associated ejaculatory pain, the diagnosis of EDO should strongly be considered.

Perineal-guided endoscopic extraction of ejaculatory duct stones to treat obstructive azoospermia

“…It is plausible that this patient had a contralateral partial ejaculatory duct obstruction that reflects a disturbance of ejaculation: sperm quality could be impaired during transit through the distal vas deferens and ejaculatory ducts. This condition is in some cases associated with chronic obstructive prostatitis, as reported in a recent study (6). Calcifications can be seen along the ejaculatory duct and may cause obstruction.…”

Male infertility: the role of imaging in diagnosis and management

“…Ejaculatory duct obstruction (EDO) is relatively uncommon, with the incidence of complete bilateral EDO reported as less than 1% in infertile males [20]. The incidence of incomplete EDO is unknown because of variations in definitions between authors [21]. Congenital causes of EDO include duct atresia or stenosis as well as compression by midline prostatic cystic lesions, e.g.…”