Ejaculatory Duct Obstruction Treatment in London: Advanced Surgery for Men

Ejaculatory duct obstruction (EDO) occurs when the ducts that transport fluid from the seminal vesicles and sperm from the vas deferens to the urethra become blocked.

Located near the prostate, these ducts can be obstructed by cysts, inflammation, or scar tissue, disrupting the normal flow of semen.

Common causes include:

• Cysts in the ejaculatory duct
• Infections
• Previous surgery to the prostate

Common Symptoms of Ejaculatory Duct Obstruction

EDO symptoms vary, and some men may not notice issues until they face fertility challenges. Clinical evidence suggests that EDO often presents with:

• Infertility: Difficulty conceiving, often identified during fertility testing.
• Low semen volume: A noticeable decrease in the amount of ejaculate.
• Decreased force of ejaculate: A reduction in the strength of expulsion during orgasm.
• Periejaculatory pain: Pelvic or testicular discomfort that may intensify during or after ejaculation.
• Haematospermia: The presence of blood in the semen.

If these symptoms are present, a specialist consultation is essential. At Harley Street Andrology, we use diagnostics such as trans-rectal ultrasonography (TRUS), semen analysis, and hormonal profiling to accurately pinpoint the obstruction.

EDO Treatment Options in London

Ejaculatory duct obstruction is one of the few surgically reversible causes of male infertility. By using endoscopic techniques to resect the tissue over the ejaculatory ducts, the obstruction can be relieved.

Benefits Of Our Technique

Transurethral Resection of the Ejaculatory Ducts (TURED) technique with radiological guidance allows precision in resection with low complication rates.

• Precision: The TURED technique with radiological guidance allows precision in resection with low complication rates
• Enhanced fertility: Patients see improved semen volume and quality post-surgery.
• Quicker recovery: Shorter hospital stays and faster return to daily life.

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What to Expect During Ejaculatory Duct Obstruction Surgery

Before the Procedure

• Consultation: We will discuss your symptoms, medical history, and fertility goals.
• Diagnostics: TRUS imaging or MRI confirms the obstruction, while genetic or hormonal profiles may be conducted for infertility cases.
• Preparation: You will receive specific instructions on fasting based on your anaesthesia type.

During the Procedure

• Anaesthesia: General or spinal anaesthesia is used, based on your preference and our recommendation.
• Duration: Typically 30 minutes.
• Setting: Performed as a day case or an overnight stay, depending on the clinical need for a catheter.

After the Procedure

• Post-operative Care: You may require a catheter overnight and mild analgesia (pain relief).
• Activity: Avoid heavy lifting or strenuous exercise for 1–2 weeks. Sexual activity may usually resume once discomfort has resolved, typically after a few weeks.
• Follow-up: We will monitor your progress and semen quality with scheduled visits to ensure optimal results.

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Risks and Complications

Our advanced radiological technique minimises these risks, which include:

• Infection: Treatable with antibiotics.
• Urinary Retention: Difficulty passing urine immediately after the procedure.
• Discomfort: Temporary and mild, resolving within days.

Research indicates an overall complication rate of approximately 17.7%, though these effects are typically mild and transient. Careful patient selection and surgical experience are essential for ensuring the best outcomes.

Cost of EDO in London

Costs at private clinics in London typically depend on the specific procedure and the type of anaesthesia required. Please contact us for further details.

Reference: BAUS