What are the causes of male ejaculatory duct obstruction? Ejaculatory duct obstruction is no longer a rare disease in life. Many male friends are now troubled by the long-term treatment of this disease.
Causes of male ejaculatory duct obstruction:
1. Congenital abnormalities. Ejaculatory ducts may be underdeveloped congenitally or poorly developed, not communicating with the epididymis, often accompanied by underdeveloped seminal vesicles, leading to low semen volume and absence of sperm.
2. Inflammatory stricture. Various pathogenic bacteria cause inflammation of the ejaculatory duct, leading to scarring and closure of the duct lumen. Severe cases can cause azoospermia.
3. Tumors. Tumors from the ejaculatory duct itself or adjacent organs compressing the duct can cause obstruction of the duct lumen, also one of the reasons for azoospermia.
4. Trauma or injury, such as obstruction of the duct lumen due to hernia repair surgery. Ejaculatory duct ligation surgery artificially blocks the duct lumen to prevent sperm from being ejaculated, achieving the purpose of contraception, which is one of the main methods of male sterilization. What are the causes of male ejaculatory duct obstruction?
How to prevent ejaculatory duct obstruction?
1. Change bad habits, quit smoking and drinking, avoid greasy foods; also avoid contact with toxic substances in daily life. There are some tips to pay attention to, such as clothes from dry cleaners are best worn after a few days because the dry-cleaning agent on them can affect male sexual function.
2. Take good care of the testicles, a very delicate organ. The optimal working temperature of the testicles is slightly lower than body temperature, about 1 degree lower. High temperatures can affect sperm production, so any factors that can raise the temperature of the testicles should be avoided. Such as long hours of biking, hot baths, wearing tight jeans, and so on.
3. Develop good personal hygiene habits and especially pay attention to the cleanliness of the reproductive system to prevent various infectious diseases that harm male fertility, such as mumps, sexually transmitted diseases, etc.
4. Acquire a certain level of sexual knowledge, understand male physiological features, and health knowledge. If you notice any changes in the testicles that are different from usual, such as swelling, hardening, unevenness, pain, etc., seek timely medical treatment, which is important for preventing the occurrence of ejaculatory duct obstruction.
How to treat ejaculatory duct obstruction?
1. Anti-infection is crucial: Since it belongs to the reproductive system, although ejaculatory duct swelling caused by infection generally does not require surgery, it still needs to be controlled by anti-infection and physical therapy after a doctor’s examination to control inflammation and reduce swelling, allowing the reproductive tract to return to normal.
2. Ejaculatory duct anastomosis surgery. If examination shows that the obstruction is in the ejaculatory duct, the obstructed segment can be removed, and anastomosis of the ejaculatory duct ends can be performed to treat ejaculatory duct obstruction.
3. Urethral orifice incision, urethral reconstruction surgery: Aimed at treating urethral stricture or occlusion caused by trauma or congenital defects.
4. Tumor resection surgery. Patients with a history of tumors or those with tumors or cysts in the spermatic cord, seminal vesicle, or prostate generally undergo surgical resection to treat ejaculatory duct obstruction.
5. Ejaculatory duct-epididymis anastomosis surgery. This is generally performed when the lesion is in the tail of the epididymis, and thus, an ejaculatory duct-epididymis anastomosis surgery is carried out.
