Transrectal US-guided seminal vesiculography and ejaculatory duct recanalization and balloon dilation for treatment of chronic pelvic pain.
Ejaculatory duct obstruction (EDO) is an uncommon but correctable cause of infertility and male chronic pelvic pain. The condition is thought to be underdiagnosed, but the increased application of noninvasive imaging tools, specifically transrectal ultrasonography (US), has lead to greater recognition of EDO. Moreover, the development of minimally invasive therapies now offers comprehensive evaluation and treatment options with low morbidity for select patient groups. This report describes the technique of transrectal US-guided seminal vesiculography, percutaneous recanalization, and ejaculatory duct balloon dilation for EDO as a treatment for male chronic pelvic pain.
Lawler
Leo P
LP
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Blalock 545, Baltimore, Maryland 21287-4010, USA.
Cosin
Octavio
O
Jarow
Jonathan P
JP
Kim
Hyun S
HS
D000328:Adult; D002404:Catheterization; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D003287:Contrast Media; D004543:Ejaculatory Ducts / Q000000981:diagnostic imaging* / Q000473:pathology; D005832:Genital Diseases, Male / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D017699:Pelvic Pain / Q000628:therapy*; D012669:Seminal Vesicles / Q000000981:diagnostic imaging* / Q000473:pathology; D018084:Ultrasonography, Interventional
D003287:Contrast Media