What to do with ejaculatory duct cysts

Every man will have the phenomenon of ejaculation, and those who don't are not real men. Normal ejaculation can satisfy men's sexual needs, but there will be some problems if they don't ejaculate. Some people will have ejaculatory duct cysts, which will cause great trouble to some people. If this happens, you should seek medical attention in time, and you should also pay attention to it in your life. Maybe after knowing some treatment methods, you can use them in your life. What should you do with ejaculatory duct cysts?

What is ejaculatory duct cyst

Ejaculatory duct cyst is caused by sperm obstruction, ejaculatory duct dilation and swelling, and the cyst is connected to the seminal vesicle, vas deferens and posterior urethra. It is mostly secondary, the cyst fluid contains fructose and (or) normal sperm, and there are often stones in the cyst. Including bleeding, infection, malignancy, calcification and stones, which can lead to infertility, hematospermia, reduced ejaculation volume, ejaculation pain, rectal discomfort, urinary retention, and compression of the ejaculatory duct and urethra at the level of the seminal colliculus, causing congestion of the seminal vesicle and other more serious complications. In this case, the cyst of the patient had a diameter of 3cm and protruded into the urethra, which had a certain impact on urination and should be treated early.

One of the causes of male infertility is blockage of the vas deferens. If the vas deferens, ejaculatory duct, urethra, etc. are blocked, semen cannot be ejaculated and the male will become infertile. There are two ejaculatory ducts in men. If one side is blocked, it may affect fertility. If both sides are blocked, it will definitely cause male infertility. Cysts are one of the causes of ejaculatory duct blockage. It is very likely to affect the patency of the vas deferens, causing sperm discharge to be blocked. In severe cases, it will lead to obstructive azoospermia and infertility.

Ejaculatory duct cyst is caused by spermatic obstruction, ejaculatory duct dilation and swelling, and the cyst is connected to the seminal vesicle, vas deferens and posterior urethra. It is mostly secondary, and the cystic fluid contains fructose and (or) normal sperm, and there are often stones in the cyst. The symptoms of ejaculatory duct cyst include bleeding, infection, malignancy, calcification and stones, etc., which can cause infertility, hematospermia, reduced ejaculation volume, ejaculation pain, rectal discomfort, urinary retention, and compression of the ejaculatory duct and urethra at the level of the spermatic colliculus, causing congestion of the seminal vesicle and other more serious complications. If not treated in time, it may cause infertility.

What to do about ejaculatory duct cysts

1. Conservative treatment is suitable for patients with small cysts, mild symptoms, and young patients, and regular follow-up is required. For patients with concurrent infection and hematospermia, oral antibiotics and hemostatics should be given. If necessary, 5a reductase inhibitors can be used: 1 tablet of Proscar 5 mg per day, or 5 mg of Aprelet 5 mg twice a day, and a course of treatment lasts 1 to 3 months.

2. Surgical treatment is suitable for patients with large cysts, complicated by stones, obvious symptoms and difficult to cure. The methods include cystectomy or spermatocystectomy on the affected side, suprapubic marsupial suture, and transurethral cystectomy.

3. Cyst puncture and injection of anhydrous alcohol or tetracycline solution can shrink the cyst.

4. Transurethral surgery should be performed for patients with ejaculatory duct stenosis or closure causing seminal vesicle cysts. Low sperm motility can cause male infertility. Prostate calcification, prostate cysts, and ejaculatory duct cysts can all cause low sperm motility. In addition, there are also diseases such as seminal vesiculitis and orchitis.

What should we do about ejaculatory duct cysts? After understanding it, you can choose the treatment method according to your actual situation. People with more serious symptoms need to see a doctor in time and undergo surgery. People with milder symptoms can be treated with medication and go to the hospital for regular checkups. People who are found to have this condition must be treated. You cannot avoid treatment just to save trouble. This will lead to major problems. Your own health is the greatest wealth.