1) | 2) |
3) | History: Age 28. >10 yrs history of periods with intense perineal and left-sided post-ejaculatory pain radiating into the groin. These periods range form a couple of days to weeks, usually subsiding spontaneously, reappearing with irregular intervals from weeks to several months. No UTIs, never leucocystes or bacterial growth in the EPS. Drach-classification: Prostatodynia TRUS: 1. Longitudinal scan of grossly dilated left seminal vesicle with wide intravesicular spaces. 2. Transverse scan: assymmetric dilatation of left seminal vesicle, right one of normal size. 3. Longitudinal view through prostate: calcification presumably obstructing left ejaculatory duct. Comments: Probable mechanism: obstruction of the ejaculatory duct, intermittently more severe. No doubt that this patient would gain from removing the calcification. The patient has, so far, declined more invasive diagnostics and surgery. |