title: Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms.
abstract: 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.
authors.affiliation: Department of Urology, College of Physicians and Surgeons of Columbia University, New York, NY, USA.
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Johnson
authors.forename: Jonathan B
authors.initials: JB
authors.lastname: Bingham
authors.forename: Erik T
authors.initials: ET
authors.lastname: Goluboff
authors.forename: Harry
authors.initials: H
authors.lastname: Fisch
mesh_terms: 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