Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms.
OBJECTIVE
To report our experience with transurethral resection of the ejaculatory ducts (TURED) in infertile men with symptomatic ejaculatory duct obstruction (EDO).


METHODS
Before surgery, all patients complained of a decrease in the volume of their ejaculate, 14 of 15 had a non-projectile ejaculation, nine had a genitourinary infection necessitating antibiotic treatment, and five had pain with orgasm. The mean ejaculate volume and total motile sperm count was 1.1 mL and 8.1 million sperm per ejaculate. After surgery, at a mean follow-up of 2 months, 10 men reported having projectile ejaculation, and eight reported a marked improvement in their sensation of orgasm. Overall, 14 men reported a subjective improvement in their ejaculation. The average postoperative ejaculate volume was 2.3 mL and the total motile sperm count was 38.1 million per ejaculate.


CONCLUSIONS
Men with symptomatic EDO who underwent TURED showed improvements in their ejaculation, sensation of orgasm, semen analysis values and fertility.
Johnson
Christopher W
CW
Department of Urology, College of Physicians and Surgeons of Columbia University, New York, NY, USA.
Bingham
Jonathan B
JB
Goluboff
Erik T
ET
Fisch
Harry
H
D003251:Constriction, Pathologic / Q000601:surgery; D004542:Ejaculation / Q000502:physiology*; D004543:Ejaculatory Ducts / Q000473:pathology / Q000601:surgery*; D005832:Genital Diseases, Male / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000209:etiology / Q000601:surgery; D008297:Male; D012189:Retrospective Studies