Diagnosis and treatment of iatrogenic ejaculatory duct obstruction following prostatic hyperthermia (report of 3 cases).
- Author:
Liang-Yun ZHAO
1
;
Xiang-An TU
;
Wen-Wei WANG
;
Xiang-Zhou SUN
;
Xiu-Lai WANG
;
Chun-Hua DENG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Constriction, Pathologic; etiology; surgery; Ejaculatory Ducts; surgery; Humans; Hyperthermia, Induced; adverse effects; Iatrogenic Disease; Male; Prostatitis; therapy; Retrospective Studies
- From: National Journal of Andrology 2006;12(10):906-909
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the characteristics of diagnosis and treatment of iatrogenic ejaculatory duct obstruction following prostatic hyperthermia.
METHODSRetrospective analyses were made of the clinical data of 3 cases of ejaculatory duct obstruction following prostatic hyperthermia.
RESULTSThe 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.
CONCLUSIONUrethra 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.
