The clinical curative effect of transurethral resection of the ejaculatory duct for iatrogenic ejaculatory duct obstruction after prostatic hyperthermia

摘要

Dear Sir,I am a urologic doctor from Urology Departmentof The First Affiliated Hospital of Sun Yat-Sen Univer-sity of Medical Science.Recently our group find thereare some patients diagnosed with iatrogenic ejaculatoryduct obstruction (EDO) after prostatic hyperthermia.This finding showed it was dangerous that some nulli-breeding patients of prostatitis were treated with pros-tatic hyperthermia,which could induce EDO andurethrostenosis.EDO,one of the most important causes of male in-fertility as it is treatable,affects 1-5% of infertile men[1,2].EDO may be due to congenital abnormalities,genitourinary infections,prior pelvic surgery,indwellingcatheters,urethral trauma and prostate disease.However,reports on iatrogenic EDO after prostatic hyperthermiaare rare.Three patients,who had been diagnosed withiatrogenic EDO after prostatic hyperthermia,underwenttransurethral resection of the ejaculatory duct (TURED)in our hospital from March 2004 to June 2005.After being diagnosed with prostatitis at anotherhospital,the three patients (30,28 and 27 years oldrespectively) underwent per urethra rheophore ablation,