title: [Diagnosis and treatment of iatrogenic ejaculatory duct obstruction following prostatic hyperthermia (report of 3 cases)].
abstract: 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.
authors.affiliation: Department of Urology, Huangpu Hospital, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510700, China.
authors.forename: Liang-Yun
authors.initials: LY
authors.lastname: Zhao
authors.forename: Xiang-An
authors.initials: XA
authors.lastname: Tu
authors.forename: Wen-Wei
authors.initials: WW
authors.lastname: Wang
authors.forename: Xiang-Zhou
authors.initials: XZ
authors.lastname: Sun
authors.forename: Xiu-Lai
authors.initials: XL
authors.lastname: Wang
authors.forename: Chun-Hua
authors.initials: CH
authors.lastname: Deng
mesh_terms: 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