Ejaculatory duct obstruction is a structural cause of male infertility characterized by impaired semen emission. Patients may present with low ejaculate volume, painful ejaculation, or infertility.
Causes include congenital cysts, infection-related scarring, or calcifications. Diagnosis is supported by transrectal ultrasonography demonstrating dilated seminal vesicles or cystic lesions.
Transurethral resection of the ejaculatory ducts is the standard treatment and may restore normal semen parameters in erotic selected cases.
Early detection improves reproductive outcomes and alleviates associated symptoms.
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