Overview

The most common treatment for ejaculatory duct obstruction is transurethral resection of the ejaculatory ducts (TURED). This procedure, which takes about an hour in an outpatient setting under anesthesia, involves a telescopic device placed through the urethra. A blockage in the ejaculatory ducts means sperm cannot get into the ejaculate (the thick, white fluid containing sperm). Blocked ejaculatory ducts can be one of the causes of zero sperm count (obstructive azoospermia). Without treatment, men with this condition have a low chance of conceiving a biological child. What are the signs and symptoms of ejaculatory duct obstruction? Low volume of ejaculate (less than 1.5 milliliters). Low sperm output and/or low sperm count. Pain during or after sex. Pain in your prostate. Blood in your semen (this is called hematospermia). Blood in your urine (blood in your pee is called hematuria). Ejaculatory duct obstruction (EDO) is a rare condition present in up to 5% of infertile men. Azoospermia is the medical term used when there is no sperm in the ejaculate. It can be obstructive, where there is a blockage preventing sperm from entering the ejaculate, or it can be nonobstructive when it is due to decreased sperm production by the testis.

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