[Diagnosis and treatment of iatrogenic ejaculatory duct obstruction following prostatic hyperthermia (report of 3 cases)].
OBJECTIVE
To investigate the characteristics of diagnosis and treatment of iatrogenic ejaculatory duct obstruction following prostatic hyperthermia.


METHODS
Retrospective analyses were made of the clinical data of 3 cases of ejaculatory duct obstruction following prostatic hyperthermia.


RESULTS
The 3 cases were diagnosed as urethrostenosis and deformity of the posterior urethra by transurethral ultrasound and semen analysis. And all the 3 patients had undergone prostatic hyperthermia for prostatitis. Transurethral resection of the ejaculatory duct (TURED) was performed to remove the obstruction and the postoperative semen analysis showed both semen volume and sperm count to be normal.


CONCLUSIONS
Urethra microwave thermotherapy, urethra radiofrequency, or per urethra rheophore ablation can be adopted in the treatment of protatitis, but should be strictly indicated and cautiously selected lest secondary iatrogenic ejaculatory duct obstruction should result. For the treatment of this obstruction, TURED is the first choice.
Zhao
Liang-Yun
LY
Department of Urology, Huangpu Hospital, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510700, China.
Tu
Xiang-An
XA
Wang
Wen-Wei
WW
Sun
Xiang-Zhou
XZ
Wang
Xiu-Lai
XL
Deng
Chun-Hua
CH
D000328:Adult; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D004543:Ejaculatory Ducts / Q000601:surgery; D006801:Humans; D006979:Hyperthermia, Induced / Q000009:adverse effects*; D007049:Iatrogenic Disease; D008297:Male; D011472:Prostatitis / Q000628:therapy*; D012189:Retrospective Studies