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Updated: May 10, 2026

Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification

Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification

Published on: December 8, 2023

Ejaculatory duct obstruction: current diagnosis and treatment.

Joseph W McQuaid¹, Cigdem Tanrikut

¹Department of Urology, Massachusetts General Hospital, MGH Fertility Center, 55 Fruit Street, YAW 10A, Boston, MA 02114, USA.

Current Urology Reports

|June 5, 2013

Summary

Ejaculatory duct obstruction is a rare but correctable cause of obstructive azoospermia. Early diagnosis and endoscopic management are key for male infertility treatment.

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Area of Science:

Urology
Reproductive Medicine
Male Infertility

Background:

Ejaculatory duct obstruction (EDO) is an uncommon cause of obstructive azoospermia, affecting up to 5% of patients.
Despite its rarity, EDO is a potentially correctable condition crucial for male infertility evaluation.

Purpose of the Study:

To provide a comprehensive overview of ejaculatory duct obstruction.
To discuss etiologies, clinical presentation, diagnostic methods, and endoscopic management.

Main Methods:

Literature review of ejaculatory duct obstruction.
Discussion of diagnostic imaging and interventional studies.
Overview of current endoscopic management strategies.

Main Results:

Ejaculatory duct obstruction presents diverse etiologies and clinical findings.
Diagnostic imaging and clinical assessment are vital for diagnosis.
Endoscopic management offers a viable treatment option.

Conclusions:

Ejaculatory duct obstruction should be considered in the differential diagnosis of obstructive azoospermia.
Timely diagnosis and appropriate endoscopic intervention can improve fertility outcomes.
Further research into optimal management strategies is warranted.