title: Rectal ejaculation and prostatic carcinoma.
abstract: A case of carcinoma of the prostate causing fistulous communication between the rectum and the prostatic ducts is presented. The patient's initial symptoms included gradual onset of inability to ejaculate and the complaint of ejaculation per rectum. Appropriate urologic studies demonstrated a fistulous connection between the area of the ejaculatory duct and the rectum. Microscopic studies of rectal discharge confirmed that semen was exiting through his rectum. All genitourinary symptoms in patients with carcinoma of the prostate warrant thorough investigation.
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000601:surgery; D000368:Aged; D002369:Castration; D004542:Ejaculation; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008297:Male; D011469:Prostatic Diseases / Q000209:etiology*; D011471:Prostatic Neoplasms / Q000150:complications* / Q000601:surgery; D012003:Rectal Fistula / Q000209:etiology*; D012007:Rectum