SURGICALLY CORRECTABLE HEMATOSPERMIA a case report

S U R G I C A L L Y C O R R E C T A B L E HEMATOSPERMIA a case reportHematospermia is an anxiety-provoking symptom that may occur repeatedly, in some cases lasting for weeks to years. It is generally thought to be a benign, self limiting condition . Some patients with decreased semen volumes andor azoospermia may be infertile, whereas others with severe pain in the lumbosacral or perineal regions .Infertility affects 15 of couples and inabout half of these cases a male factor is implicated . Ejaculatory duct obstruction (EDO), a rare but surgically correctable cause of male infertility, is found to be the cause in 15 of infertile men . seminal plasma examination and TRUS have been widely used in the diagnosis of EDO.we report a 25- year-old male married since 2 months presented with complaints of blood in ejacu late , low volume ejaculate and perineal pain during ejaculation for 4 years.semen analysis showed low volume semen and plenty of RBCs.TRUS and MRI showed seminal vesicle and calculi in the ejaculatory duct. We proceeded with Trans urethral resection of ejaculatory duct (TURED) and calculi retrieval.Post operatively patient symptomatically relieved .semen analysis showed no Rbc, increase in volume and improved quality of life.