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Urology/Blocked Ejaculatory Duct

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Question
QUESTION: Dr. Leslie:
I know the Ejaculatory Duct can become blocked following Prostate Seed Implant, how is this diagnosed and what can be done to correct it? 100% Dry
Thank-You.

ANSWER: Mike

A truly blocked ejaculation duct would be quite rare. What you are describing sounds limited e dry ejaculation or retrograde ejaculation which means no semen comes out. It may be going backwards into the bladder. This does no harm but clearly is a change from normal. In most cases, there is not much that can be done but it may resolve on its own. Talk to your urologistm

---------- FOLLOW-UP ----------

QUESTION: Dr.
Thank-You for your reply.
It may be rare,but what test is done to see IF Ejaculatory Duct IS BLOCKED and if so what can be done?
It will not resolve on its own it has been going on for too long.
Thanks Again!

Answer
Mike:

We typically do not do any testing for a blocked ejaculatory duct from prostate surgery.

You did not indicate what symptoms you had that suggest to you that the ejaculatory duct is blocked as this would be quite unusual following a seed implant.  I strongly suspect you have symptoms that are better explained by other problems.

A cystoscopy to visually look at the ejaculatory duct is the typical test done if an ejaculatory duct obstruction is suspected.  If a blockage is found, a simple transurethral resection of the duct can be done which can relieve the blockage if it indeed is due to an abnormality at that point.  This would be highly unusual after surgery such as you've described.

Blockage to the vas or the seminal vesicles can be checked by vasogram.  This is typically not done except in cases of male infertility.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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