Re: Ejaculatory problems, but no pain

From: Matthew Emme (maemme_at_charter.net)
Date: 06/27/04 

Date: Sun, 27 Jun 2004 12:28:30 -0500

On 5/22/04 3:50 PM, in article q-GdnegGD9yNIDLdRVn-jA@comcast.com, "Paul A."
<pwabra@comcast.net> wrote:

> I'm a 68 year old guy, currently being treated by Dr. Irwin Goldstein of the
> Center for Sexual Medicine at Boston University Medical School (a marvelous
> physician and first-rate scientist whom I recommend strongly). My primary
> symptom is a gradual decrease of semen flow and ejaculatory force, to the
> point now where I can barely ejaculate at all, even with a vibrator, and
> get only a little bit of semen oozing out. I also had low free
> testosterone, though that's been remedied with testosterone replacement
> therapy plus DHEA. And I've had BPH for about 15 years, needing to urinate
> about 4 times a night. But -- unlike most of the prostatitis sufferers
> here -- I have no pain at all. In fact, I have radically decreased
> sensitivity in my penis (Dr. Goldstein measured it).
>
> After determining that fixing my hormone levels wasn't helping (though I
> think it prevented the problem from getting worse even faster), Dr.
> Goldstein finally did a TRUS (transrectal ultrasound scan) and was
> astonished to discover that my ejaculatory ducts were almost completely
> blocked by calcified stones. This was a problem he had not seen before and
> had no experience with, so he suggested that I see for myself what I could
> find out about it.

This is not a common problem. I do not know what Dr. Goldstein wanted to
do, but the standard treatment for bilateral ejaculatory duct obstruction
would be to go in and do a resection of that part of the prostate. This
seems to help many. What did he want to do?

ME