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Updated: Jun 13, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Ejaculatory duct dysfunction and lower urinary tract symptoms: chronic prostatitis.
Matthew McIntyre1, Harry Fisch
1Medical University of South Carolina, 96 Jonathan Lucas St. CSB 644, PO Box 250620, Charleston, SC 29425, USA. mcintyre@musc.edu
Chronic pelvic pain syndrome (CPPS) is a common prostatitis form. Ejaculatory duct obstruction (EDO) is a treatable cause of CPPS, especially when ejaculatory pain is present.
Area of Science:
- Urology
- Andrology
- Pain Management
Background:
- Chronic pelvic pain syndrome (CPPS) is the most common prostatitis type.
- CPPS presents with pelvic pain, voiding, and ejaculatory dysfunction without infection.
- Current treatments for CPPS are often challenging and may not address all underlying causes.
Purpose of the Study:
- To investigate ejaculatory duct obstruction (EDO) as a potential and correctable cause of CPPS.
- To highlight the importance of considering EDO in patients with CPPS and ejaculatory pain.
Main Methods:
- Review of proposed etiologies for CPPS, focusing on anatomical and obstructive factors.
- Clinical examination and diagnostic considerations for ejaculatory duct obstruction.
- Surgical correction of EDO as a treatment modality.
Main Results:
- EDO is identified as a potentially correctable condition contributing to CPPS.
- EDO can be effectively treated with minor surgical intervention.
- Diagnosis of EDO should be strongly considered in CPPS patients experiencing ejaculatory pain.
Conclusions:
- Ejaculatory duct obstruction (EDO) represents a treatable cause of chronic pelvic pain syndrome (CPPS).
- Prompt diagnosis and surgical correction of EDO can alleviate symptoms in affected individuals.
- Considering EDO in the differential diagnosis of CPPS, particularly with ejaculatory pain, is crucial for effective management.
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