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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

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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

Current Urology Reports

|May 5, 2010

Summary

This summary is machine-generated.

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.

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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.