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Related Concept Videos

Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

67
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
67
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

52
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
52

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Related Experiment Video

Updated: Jun 13, 2025

Vessel-sparing Excision and Primary Anastomosis
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Retrograde Ejaculation Due to Posterior Urethral Stricture: A Rare Case Report.

Lei Zheng1, Lihong Wang1, Hui Jiang2

  • 1Department of Andrology and Sexual Medicine, The Second Hospital of Dalian Medical University, Dalian, China.

American Journal of Men'S Health
|September 13, 2024
PubMed
Summary

Pelvic fracture can cause urethral strictures leading to retrograde ejaculation. Balloon dilatation improved urinary flow and partially restored antegrade ejaculation in a case study.

Keywords:
pelvic fractureretrograde ejaculationtransurethral balloon dilationurethral stricture

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Area of Science:

  • Urology
  • Sexual Medicine
  • Trauma Surgery

Background:

  • Pelvic fractures frequently cause injuries to the posterior urethra, potentially leading to strictures.
  • Urethral strictures can significantly impair sexual function, including ejaculation.
  • Retrograde ejaculation is a common complication following pelvic trauma and urethral reconstruction.

Observation:

  • A 29-year-old man presented with a 3-year history of retrograde ejaculation and 8 years of urethral stricture post-pelvic fracture.
  • Diagnostic imaging included retrograde urethrogram for stricture measurement and transrectal color Doppler ultrasound to monitor ejaculation.
  • The patient desired improvement in ejaculatory function.

Findings:

  • Urethral balloon dilatation successfully relieved urinary obstruction, restoring normal urination.
  • Transrectal color Doppler ultrasound demonstrated partial antegrade ejaculation alongside continued retrograde ejaculation after treatment.
  • The procedure addressed the urethral stricture, offering a degree of functional improvement.

Implications:

  • This case highlights the potential for minimally invasive techniques like balloon dilatation in managing complex post-traumatic urethral strictures.
  • Real-time ultrasound monitoring provides valuable insights into ejaculatory dynamics following intervention.
  • Successful management can improve quality of life for patients suffering from sexual dysfunction after pelvic trauma.