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Ejaculatory duct obstruction (EDO) is a pathological condition which is characterized by the obstruction of one or both ejaculatory ducts. Thus, the efflux of (most constituents of) semen is not possible.
Ejaculatory duct obstruction is an acquired or congenital pathological condition in which one or both ejaculatory ducts are obstructed. [9] In the case that both ejaculatory ducts are obstructed, this illness presents with the symptoms of aspermia and male infertility. [9] [10]
In the case of structural retrograde ejaculation, pharmacotherapy might not work but surgical procedures can fix the bladder neck problem. [18] The blockage of the ejaculatory duct can be treated via transurethral resection of the ejaculatory duct (TURED) and is indicated for people with low sperm volume. [19]
Retrograde ejaculation; This type of ejaculation happens when there is a defect on prostate, so the sample is not ejaculated outside but to the bladder. So, in that case, what we have to do to obtain the sample is: – Intake bicarbonate, about 25 grams, the night before and the morning of the sample obtaining.
Balloon dilatation or transurethral ejaculatory duct resection are two treatments for ejaculatory duct obstruction. [27] In one study, tamsulosin-treated patients' symptoms significantly improved after four weeks of treatment. [5] This is also helpful for painful ejaculation following radical prostatectomy. [5]
Aspermia is the complete lack of semen with ejaculation (not to be confused with azoospermia, the lack of sperm cells in the semen). It is associated with infertility.. One of the causes of aspermia is retrograde ejaculation, because of that the sperm is kept into the bladder and the final ejaculate is 0 mL. [1]
Non-infectious causes are also possible. Reflux of sterile urine (urine without bacteria) through the ejaculatory ducts may cause inflammation with obstruction. In children, it may be a response following an infection with enterovirus, adenovirus or Mycoplasma pneumoniae.
Ejaculatory duct obstruction; Spinal cord injury causes sexual dysfunction including anejaculation. The rate of being able to ejaculate varies with the type of lesion, as detailed in the table at right. Old age; Diabetes mellitus [1] Anejaculation, especially the orgasmic variant, is usually indistinguishable from retrograde ejaculation.
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