Transurethral Resection of Ejaculatory Duct Treatment in India
About Transurethral Resection of Ejaculatory Duct
Key Highlights
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Minimally invasive procedure performed through the natural urinary opening.Directly addresses the anatomical cause of obstructive infertility.Can restore natural fertility, potentially avoiding the need for sperm retrieval and IVF.Typically involves a short hospital stay and relatively quick recovery.Performed by a specialist (Andrologist) with expertise in male reproductive surgery.
Who is this surgery for?
- Obstructive Azoospermia (no sperm in semen) with normal hormone levels and testicular size.
- Severe Oligospermia (very low sperm count) due to partial ejaculatory duct obstruction.
- Painful ejaculation (dyspermia) associated with duct obstruction.
- Hematospermia (blood in semen) originating from the ejaculatory ducts.
- Confirmed diagnosis via imaging (TRUS - Transrectal Ultrasound) showing dilated seminal vesicles or ejaculatory duct cysts.
How to prepare
- Complete diagnostic workup including semen analysis, hormone tests, and TRUS.
- Pre-operative counseling with the andrologist to discuss goals, risks, and alternatives.
- Informed consent process detailing the procedure.
- Fasting for 6-8 hours before the procedure if general or spinal anesthesia is planned.
- Discontinuation of blood-thinning medications (like aspirin) as advised by the doctor.
- A pre-anesthetic check-up to ensure fitness for surgery.
Risks & possible complications
- Bleeding during or after the procedure.
- Infection (urinary tract infection or epididymitis).
- Retrograde ejaculation (semen flowing backward into the bladder).
- Injury to surrounding structures like the rectum or urinary sphincter.
- Recurrence of obstruction or failure to improve semen parameters.
- Rare risk of urinary incontinence or stricture (narrowing) of the urethra.
Recovery & hospital stay
- Hospital discharge usually occurs within 1-2 days post-procedure.
- A urinary catheter may be placed for a short period to aid healing.
- Antibiotics and pain medications are prescribed to prevent infection and manage discomfort.
- Avoid strenuous activities, heavy lifting, and sexual intercourse for 2-3 weeks.
- Increased fluid intake is recommended to flush the urinary system.
- Follow-up semen analysis is typically scheduled 6-12 weeks after surgery to assess improvement.
- Report any signs of fever, severe pain, or heavy bleeding to your doctor immediately.
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Typical hospital stay:
1-2 days
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Expected recovery time:
2-3 weeks
Frequently Asked Questions
If you are considering transurethral resection of ejaculatory duct in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with andrology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform transurethral resection of ejaculatory duct. MediFyr helps you compare andrologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for transurethral resection of ejaculatory duct compare across other countries where we have data.
Robert Verma, a 42-year-old software architect...
Robert Verma, a 42-year-old software architect and father of two, had always dreamed of expanding his family. For three years, he and his wife faced unexplained infertility despite her tests being normal. Robert's own semen analyses consistently showed azoospermia (no sperm). He felt a deep sense of guilt and inadequacy, believing he was the sole reason they couldn't conceive. After seeing a reproductive urologist, a physical exam and transrectal ultrasound revealed a blockage in his ejaculatory ducts, likely from a prior prostate infection he barely remembered. The andrologist recommended a Transurethral Resection of the Ejaculatory Duct (TURED) to open the blockage. Robert was anxious about the surgery but hopeful. The procedure itself, done under spinal anesthesia, was uneventful. Recovery involved a few days of discomfort with urination and a temporary catheter. Six weeks later, a semen analysis revealed live sperm for the first time. The emotional relief was profound. While they are now pursuing IVF with his sperm, the procedure lifted a crushing weight of blame and restored his sense of hope and partnership in their fertility journey.