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Kang, Christopher W. No early signs but may cause weakness, pain, and blood in urine. Due to ejaculatory duct obstruction and/or due to chronic infection, the seminal vesicle may develop stones. 0cm in anteroposterior diameter. By System: Breast 2 Nov 2018 Alternative options for management of symptoms of ejaculatory obstruction (e. Treatment for Infections or Diseases That Affect Fertility ultrasonography to rule out retrograde ejaculation and ejaculatory duct obstruction. Men often notice during masturbation that they do not have semen release but there is an orgasm. Hospital admission becomes necessary for intravenous fluids and evaluation. the prostate anatomic relationships retroperitoneal anterior to rectum, inferior to bladder and surrounds the neck of bladder and urethra size shape: size of Ejaculatory duct obstruction (EDO) is a pathological condition which is characterized by the obstruction of one or both ejaculatory ducts. Most parts of thyroid disorders are treatable. In men who present with absent or low-volume ejaculate, RE and ejaculatory duct obstruction comprise the differential diagnosis. ejaculatory duct (ED). Gittens is fellowship trained in sexual medicine and an expert at treating this problem. Azoospermia in a patient with normal size testes (20-25 cc volume) and normal FSH suggest obstructive etiology. 35 ng. C 4 Transvaginal ultrasonography can be used to obtain an antral follicle count and predict ovarian Dr. Ejaculatory duct obstruction . g. Although there are no pathognomonic findings associated with ejaculatory duct obstruction, the diagnosis should be suspected in an May 28, 2010 · Ejaculatory duct blockage is diagnosed by transrectal ultrasound showing dilated ducts. Treatment and Evaluation of Anorgasmia in Men SMSNA Nov 3, 2016 Stacy Elliott, MD Medical Director, BC Center for Sexual Medicine Vancouver , BC Clinical Professor, UBC Diffusive focal changes in the prostate gland in cysts are detected by chance and, according to urologists, the mechanism of their appearance is associated with atrophy of the prostate gland, its inflammation, obstruction of the ejaculatory duct and neoplasia. Ejaculatory duct obstruction (EDO) is a rare but surgically correctable cause of male infertility. A large part of the ejaculatory duct cysts duct occurs due to obstruction. , for pelvic pain or pain with ejaculation) and infertility (e. Caused by an obstruction of one of the Transrectal ultrasound can also assess azoospermia caused by obstruction, or anomalies related to obstruction of the ejaculatory duct, such as abnormalities within the duct itself, a median cyst of the prostate (indicating a need for cyst aspiration), or an impairment of the seminal vesicles to become enlarged or emptied. MRI can be used to evaluate for suspected prostate cancer or ejaculatory duct obstruction. 00464% in men. Prostate: −A pyramidal-shaped, firm elastic gland that lies between urogenital diaphragm & bladder neck. , with 17 Jun 2016 When the patient's symptoms persisted, he was referred to our clinic for further On contrast injection into the more distal ejaculatory duct orifice, an ejaculatory -duct obstruction and anomalies of the seminal vesicles. " Retrograde ejaculation is one cause of male infertility. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for A new method of chronic and recurrent seminal vesiculitis treatment. Off BC since Febuary 2006 3 Clomid Cycles in 2008- symptomatic, US just showed a tilted uterus, otherwise normal, HSG normal. While treatments are available for ejaculatory dysfunction, sperm harvesting for use in IUI or IVF is also an option. Ahead of Print policy. The remaining patients, with neither insinuations of inguinal obstruction nor signs of ejaculatory duct obstruction, were nominated as group C. . Seminal vesicle cysts can occur in any part of the gland. The ducts, which open into the urethra about halfway through the prostate gland (q. EJACULATORY DUCT OBSTRUCTION THE INFERTILE MALE ERIK T. A method to treat ejaculatory duct obstruction is transurethral resection of the ejaculatory ducts ( TURED). 8 Viscosity 1. Midline cysts are usually congenital because of anomalies of the müllerian duct system. Ejaculatory duct obstruction (EDO) is a cause of infertility in 1% to 5% of clinical symptoms, including hemospermia, painful ejacula- tion and/or infertility with For information about COVID-19, including symptoms, prevention and travel advice Ejaculatory duct obstruction, though rare, can lead to oligospermia or In contrast to the walls of the vas deferens, the walls of the ejaculatory ducts are thin. Feb 24, 2012 · Ejaculatory duct obstruction . , Benign prostatic hyperplasia Treatment of Ejaculatory Duct Obstruction at Lowcountry Urology Clinics. It can be congenital or acquired. Another cause of aspermia is ejaculatory duct obstruction, which may result in a complete lack of or a very low-concentration semen (oligospermia), in which the semen contains only the secretion of accessory prostate glands downstream to the orifice of the ejaculatory ducts. A PROSPECTIVE COMPARISON OF 3 DIAGNOSTIC METHODS TO EVALUATE EJACULATORY DUCT OBSTRUCTION RAJVEER S. Feb 27, 2019 · Sperm duct blockages are responsible for a sizeable number of male infertility cases. One study suggests this account for around 40. Ejaculatory duct obstruction (EDO) is a rare cause of OA and accounts for approximately 1% of patients presenting with male infertility. The treatment for this is to "unroof" the blockage with a cutting loop. Xu, B, Niu, X, Wang, Z. Signs and Symptoms of Ejaculatory Duct Obstructions (EDO) Ejaculatory duct obstruction Harry Fisch, Young M. ) and the excretory duct of a seminal vesicle (q. 64 Potential complications of transurethral management of ejaculatory duct obstruction can occur in 20% to 26% of patients and may While these symptoms are not the most common ones, recent evidence has shed light on the fact that an obstruction in the ejaculatory ducts or seminal vesicles could be the cause behind this occurring. Men may notice that their Ejaculatory duct obstruction is suggested by dilatation of the ducts (normal ducts have no identifiable lumen – Fig. In cases where the semen volume is very large (particularly >10 ml), this can indicate: Congenital epididymal obstruction/agenesis Congenital bilateral or unilateral absence of the vas deferens Ejaculatory duct obstruction, Mu¨llerian/utricular cysts Young syndrome (sinusitis, azoospermia syndrome) Acquired forms Intratesticular (rete testis) obstruction (infection) Epididymal obstruction (infection, previous surgery) The statistical expectation for each child born to parents both of whom carry the gene (but do not have signs of disease) is as follows: 25% chance that the child is born with two normal genes (normal) 25% chance that the child is born with two abnormal genes (at risk for the disease) that joins the duct of the seminal vesicle to form the ejaculatory duct which passes through the prostate to open in the prostatic urethra. Jan 12, 2018 · In some cases of dry orgasm, semen is produced but goes into the bladder instead of out through the penis during sexual climax. Findings were abnormal in 15 patients. A gastroenterologist would sit down with the radiologist and review the images and decide whether more imaging studies like an MRI or liver biopsy are advisable depending upon your PI ejaculatory duct cysts duct ultrasound examination shows extension of the seminal vesicle on the affected side. [2] Men often notice during masturbation that they do not have semen release but there is an orgasm. D. Approximately 200 million people worldwide have some form of thyroid disease, and it is more common in women. DH has an ejaculatory duct obstruction and a congenital absence of the vas deferens. You should discuss the success rates and risks of surgery with your urologist. In urogenital sinus anomalies, one or both ejaculatory ducts empty into the cyst, while in Müllerian duct anomalies, ejaculatory ducts are laterally displaced and compressed by the cyst [15 x [15] Pryor, J. Some ejaculatory duct blockages are present at birth (congenital). Surgery is successful in the treatment of infertility for many men. Ejaculatory duct obstruction, though rare, can lead to oligospermia or azoospermia. Dec 05, 2015 · Causes of Ejaculatory Duct Obstructions (EDO) Ejaculatory duct obstruction may be the result of genetics, or it may be caused by injury and inflammation. Recent findings Ejaculatory duct obstruction is a rare cause of male infertility. Chapter 55 Nursing Management Male Reproductive Problems Shannon Ruff Dirksen Only a life lived for others is a life worthwhile. 1 Symptoms develop in the second through fourth decade of life as the cyst grows in size and causes local mass effects. Ejaculatory duct obstruction (EDO) is a pathological condition which is characterized by the obstruction of one or both ejaculatory ducts. Another underlying cause for this phenomenon may be ejaculatory duct obstruction. Normal seminal vesicles are less than 2. Arousal disorder affects approximately 30% of women. 1 Sexual dysfunction 2. However, the overenthusiastic use of ART has deprived some patients of primary treatment for their disease. Logged in Surgical procedures which correct ejaculatory duct obstruction and lead to restoration of fertility. The problem may be due to ejaculatory duct obstruction and might be relieved by transurethral resection of the ejaculatory ducts (TURED) [Pace et al. HARRY FISCH, M. If you are experiencing symptoms of EDO and would like to discuss them with a Eur Urol. In women, the area between the vagina and the anus is called perineum. WU, KATSUTO SHINOHARA* AND PAUL J. nlm. The ejaculatory duct is a hollow tube, so the doctor can see exactly where the blockage is — if there is a blockage. It is a cause of male infertility and/or pelvic pain. EDO: Diagnosis Trans rectal ultrasound and aspiration SV usually > 1. Figure 3. In the case that both ejaculatory ducts are obstructed, this illness presents with the symptoms of aspermia and male infertility. Symptoms. ,9 to date, just over 200 cases of ZS have been described. Signs of arousal disorder can be lack of vaginal lubrication, decreased genital stimulation and a decrease in genital swelling. intra-prostatic midline cyst. O MRI pelvis without IV contrast 7 This procedure is indicated if TRUS is negative or inconclusive. anatomic obstruction is beyond the scope of this chapter. Helpful, trusted answers from doctors: Dr. Manski ACR–AIUM–SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF ULTRASOUND EVALUATION OF THE PROSTATE (AND SURROUNDING STRUCTURES) PREAMBLE This document is an educational tool designed to assist practitioners in providing appropriate radiologic care for patients. Google Scholar Crossref Medline ISI 17. 7cm diameter. Clinical Presentation . Types-- Acute bacterial prostatitis Chronic bacterial prostatitis Chronic prostatitis without infection Asymptomatic inflammatory prosta The cysts of ejaculatory duct: Ejaculatory duct cysts are rare. 5% of patients with hypospermia. Star homeopathy, a chain of super specialty homeopathic clinic's founded by a group of practically high qualified doctors with the vision to provide the best medical treatment in a scientific and most advanced way with the use of latest clinical knowledge and medical diagnostic equipment. Describe the nursing management of benign prostatic hyperplasia. This gets sperm into the semen in about 65 out of 100 men. J Endourol 2011 ; 25: 1815 – 1818. With the advent and increased use of high-resolution transrectal ultrasonography, anomalies of the ejaculatory ducts related to infertility have been well documented. v. Thus, the efflux of (most Transrectal ultrasound is performed to visual the prostate, identify a possible ejaculatory duct cyst and evaluate the size of the seminal vesicles. Partial or functional forms of ejaculatory duct obstruction can be difficult to diagnose. This blockage prevents some or all of the sperm mixing with the semen and from being ejaculated out of the penis. Classically, ejaculatory duct obstruction (EDO) refers to complete obstruction of ejaculate, and then identify associated symptoms that may lead to one of the. EDO is easily correct-able with minor surgery. You may notice a greatly reduced amount of Ejaculatory duct obstructions may cause low sperm motility & infertility in men. TURED not only improves volume of ejaculation but also has other beneficial effects in alleviating EjD associated with ejaculatory duct obstruction. com] Sep 25, 2015 · Male Urethral Stricture Disease: Signs, Symptoms and Treatment Anatomy Series, Male Urethra, Vas Deferens and Ejaculatory Duct by Dr. In some cases, men What are the symptoms of ejaculatory duct obstruction? EDO can cause pelvic pain, especially after ejaculation. TRUS is also used to rule out seminal vesicular cysts, müllerian cysts, or utricular cysts. EDO is an evolving topic, and a discussion regarding partial vs. Chronic pelvic pain syndrome. complete EDO and functional vs. If your prostate is enlarged , it can put pressure on your urethra, which can cause Etiologic classification, evaluation, and management of hematospermia Hematospermia is defined by the presence of blood in the semen typically occurring in men younger than 40 years of age. 9 High density 0. The diagnosis of RE is confirmed by a post-ejaculatory voided urine that reveals spermatozoa, seminal fluid or fructose. Anejaculation, total lack of ejaculation; Ejaculatory duct obstruction (EDO) Signs and symptoms. This may reveal issues such as ejaculatory duct obstruction or identified in all 43 patients, and their ejaculatory duct obstruction or seminal vesiculitis was successfully treated. However in most cases there are no obvious signs or symptoms pointing to this condition. Ejaculatory duct obstruction (EDO) is suspected when the volume of ejaculate is low ipsilateral renal agenesis, and ejaculatory duct obstruction, caused by a congenital abnormality of mesonephric devel-opment. Male factor infertility refers to the failure of a couple to achieve conception due to problems specifically related to the man's sperm, seminal fluid, or reproductive organs. Ejaculatory duct obstruction presents with infertility, pain, or hematospermia. Several conditions can lead to a blockage in the epididymis: This is sometimes even a problem for men with a cystic fibrosis gene mutation but no other disease symptoms. 2 May 2018 Consequently, ejaculatory duct obstruction is highly suspicious in our decade of life and often manifest symptoms during the period of high 9 Aug 2008 Purpose: Ejaculatory duct obstruction (EJDO) has traditionally been managed with transurethral resection of ejaculatory ducts (TURED). Another cause cysts of the seminal vesicles is the autosomal dominant polycystic kidney disease (ADPKD), from the online textbook of urology by D. Pathophysiology. This procedure should include dynamic contrast-enhanced MRI for suspected prostate cancer. Dec 20, 2018 · Putting on my Sherlockian hat, it hit me that there was only one diagnosis that fit his story: ejaculatory duct obstruction. Ejaculatory duct obstruction is an acquired or congenital pathological condition in which one or both ejaculatory ducts are obstructed. Open the Johns Hopkins Medicine menu with the enter key and close it with the escape key; use the tab keys to navigate links. Sign in to download full-size image. Why? With this anatomical issue, the medical history is typically unrevealing. This is done by putting a special fluid into the ejaculatory duct and at the same time taking X-rays. This is common with cystic fibrosis carriers, but he doesn't have cystic fibrosis. The diagnosis of complete BACKGROUND: Prostatitis is a common disease in urology departments. Aug 09, 2009 · First thing first, you need a post-ejaculatory urinanalysis to see if there are sperm there, You may just have low volume from things like ejaculatory duct obstruction. Ejaculatory duct obstruction (edo) is a congenital or acquired pathological condition which characterized by the of one both ejaculatory ducts. [ncbi. Seminal vesicle cysts are either congenital or acquired and usually develop on basis of a ejculatory duct obstruction. These scars, tumors, or cysts can press on the ejaculatory duct preventing sperm from being ejaculated. 2001 Jan;39(1):24-9. 5 Epididymitis in this age into the ejaculatory duct in the setting of In children two to 14 years of age without systemic signs (e. This contact of the ureteric bud with the metanephric blastema induces normal kidney development. Jonathan Jarow is a Urologist in Chevy Chase, MD. Ejaculatory duct obstruction is found in about 1–3% of obstructive azoospermia [14]. The physicians at Lowcountry Urology Clinics of Charleston SC have years of experience in the detection and treatment of ejaculatory duct obstruction, or EDO. , Benign prostatic hyperplasia Ejaculatory duct obstruction is an acquired or congenital pathological condition in which one or both ejaculatory ducts are obstructed. During retrograde urethrography the smaller cystic dilatation was first shown, which is identified as an enlarged prostatic utricle (EPU). This can be surgically corrected, however, the surgery itself may also cause damage to one or both Jun 21, 2017 · The main symptom of retrograde ejaculation is that there's very little or no semen when you have an orgasm. Seminal Vesicle Stones. Objective. Cystic dilatation of the ejaculatory duct (ED) and the Start studying Med Terminology Chapter 13. 2017 - New Code 2018 2019 2020 Billable/Specific Code Male Dx. Blockages could come back. The natural history of partial ejaculatory duct obstruction. With the advent and increased use of transrectal ultrasonography and magnetic resonance imaging Dec 02, 2013 · Dear Nigel, Having ejaculatory duct cysts are a favorable finding for success after TURED for ejaculatory duct obstruction. However, it is potentially correctable and warrants consideration in the differential diagnosis of the patient presenting for infertility evaluation. [journals. These obstructions can be classified as cystic or post-inflam-matory. 2, 24 Ejaculatory ductobstruction. g The men who showed no signs of prostatitis were given biopsies right away. Menopause. Dec 06, 2017 · Obstruction of the ejaculatory ducts howard kim youtube. The blockage of the ejaculatory duct or blockage of epididymis accounts for 1-5% of the male infertility causes. Posterior Jun 20, 2012 · The scrotum, testes, and prostate are evaluated for signs of infection, obstruction, or varicocele. low libido, pain with sex and mood swings are all signs of menopause. IN From the Department of Urology, Squier Urologic Clinic, Columbia College of Physicians and Surgeons, New York, New York Although obstruction of the epididymis and proximal vas has become well-recognized and readily treated causes of male infertility,l more distal obstructions Can an Epididymal Obstruction or Blockage be treated? What is the epididymis? The epididymis is a thin-walled, tightly coiled duct within the scrotum that collects and stores sperm from the sperm producing (seminiferous) tubules of the testes, where sperm are manufactured. Know the causes, symptoms, treatment, diagnosis, recovery period and pathophysiology of perineal pain or perineum pain. We described the case of a a blockage (obstruction) in the bladder or an ejaculatory duct (pathway from the seminal vesicles to the urethra for fluid that helps to make up semen) trauma that causes inflammation or nerve damage in the pelvis; a history of urinary tract infection; Signs and symptoms. Thyroid function and fertility. Jun 29, 2013 · Paramedian cysts (eg, ejaculatory duct cysts) are located laterally, close to the midline, and posterior to the prostatic urethra. The ectopic ureter is always above the external urinary sphincter. IV. or ejaculatory duct obstruction. Ejaculatory duct cysts are rare and are caused by either congenital or acquired obstruction of the ejaculatory duct (14). 5 Greenberg, Lipshultz, Wein 1978 Obstructive azoospermia represents approximately 10 % of cases of male hypofertility. Fertil Steril. Sludge in the gall bladder can cause abdominal distress and indigestion. Post-orgasmic pain Introduction Ejaculatory duct, either of two hollow tubes, each formed by union of the ampulla of a ductus deferens (q. Patients with 5 Dec 2015 The most common signs and symptoms of ejaculatory duct obstruction are difficulty conceiving and issues with pelvic pain. On T1-weighted spin-echo images, the blood in seminal vesicle or ejaculatory vessel shows a higher signal area, representing the existence of hemoglobin caused by subacute hemorrhage. Improvement of symptoms was noted in 96% of patients with ejaculatory disorders. Dr. They are due to obstruction of the ejaculatory duct that may be congenital or acquired [9]. This article will review the workup of infertility in a male. Retrograde ejaculation is sometimes referred to as a "dry orgasm. Once confirmed, ejaculatory duct obstruction can be managed via TURED or transurethral dilation of the ejaculatory ducts, with 65% of men having significant and durable improvements in semen quality (Fig. May 14, 2012 · In men who present with absent or low-volume ejaculate, RE and ejaculatory duct obstruction comprise the differential diagnosis. 1 Symptoms develop in the second through fourth decade of life as the cyst grows in size and causes local mass effects. Ejaculatory duct obstruction is an uncommon but surgically correctable cause of male infertility. Patients must have active sperm production in the testes to be considered a candidate for a vasoepididymostomy. This procedure is usually done on an outpatient basis. I assume you have not had prostate surgery that could be causing this. It is classified according to the volume of ejaculate. 1 Cryptorchidism 6. Aug 23, 2019 · Obstruction If ducts like the ejaculatory duct are blocked, surrounding blood vessels can dilate and break. Seif on ejaculatory duct obstruction symptoms: The patient feels sick, bloated abdomen, loss of passing gas/stool, nausea, fever and vomiting. N50. Rarely, they become symptomatic when inflamed or infected or when they are large, causing urinary outflow obstruction or infertility secondary to ejaculatory duct obstruction. The wall is smooth, and small stones (*) are found to adhere to the cystic dilatation of the ED wall. Transurethral Resection of the Ejaculatory Duct is a method to treat ejaculatory duct obstruction and this procedure may help couples who want to conceive naturally and avoid assisted reproductive technologies such as IVF/ICSI. Signs of Infection, Protective Measures and More Partial ejaculatory duct obstruction causing early demise of sperm. Ejaculatory duct obstruction is a known cause of infertility and more common than previously recognized. But there can be problems. 10 The finding of dilated seminal vesicles, dilated ejaculatory ducts and/or midline prostatic cystic structures on transrectal ultrasonography (TRUS) is suggestive of, but not diagnostic of, complete or partial ejaculatory duct obstruction. With a blockage, sperm from the testicles can't leave the body during ejaculation. Malignant tumors of these structures or of the testicles are a possible but very rare cause of hematospermia. Symptoms of ejaculatory duct obstruction may be vague. 3. infected or sterile urine into the ejaculatory ducts. nih. A stricture restricts the flow of urine from the bladder and can cause a variety of medical problems in the urinary tract, including inflammation or infection. Oct 01, 2019 · Other specified disorders of the male genital organs. " Retrograde ejaculation is one sympton of male infertility. In most men, orgasm and ejaculation happen simultaneously but they are in fact different physiological events that can occur independently of one another. 1991; 56: 725–730 Oct 01, 2019 · Obstruction of bile duct. Patients with RE frequently describe a cloudy appearance of postorgasmic urine. Johnson and Erik T. org by Radswiki. Pathologic analyses revealed that all of the resected or biopsied seminal vesicle tissues had chronic nonspecific inflammation in the seminal vesicle wall, and Men may experience a "dry orgasm" due to a complete lack of seminal emission, retrograde ejaculation where the ejaculate flows backward into the bladder, or an ejaculatory duct obstruction. All couples were counseled as to the available options for management, both surgical and assisted reproductive techniques. Subtle signs and other health conditions can all point to a potential kidney Ejaculatory and Orgasmic Disorders Orgasm is a feeling of intense pleasure, relaxation, and connection that is associated with sexual climax. —Ejaculatory duct obstruction is a major cause of male infertility. All diseases have different signs and symptoms. Patients may have a normal palpable vas deferens bilaterally but show decreased ejaculate volume and hematospermia and may experience pain upon ejaculation. We review many of these cystic lesions seen in our department over the past several years. Management depends on size, location, symptoms, and comfort of the surgeon. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Since your ejaculatory ducts pass through your prostate, the enlargement of your prostate can exert pressure on your ejaculatory ducts, causing them to constrict. The signs and symptoms of prostatitis may include: Jan 16, 2019 · Obstruction caused by cysts of the seminal vesicles (congenital or acquired) can lead to hematospermia, as can obstruction of the müllerian duct or the ejaculatory duct. 5, 6 The ZS description comprises the seminal vesicle cyst with ipsilateral renal agenesis and obstruction of the ejaculatory duct with an ectopic ureter. An ejaculatory duct obstruction is where there is a blockage or inflammation of the tubes which the sperm travel along. Lesions discussed include müllerian duct cyst, prostatic utricle cyst, ejaculatory duct cyst, cystic degeneration in benign prostatic hyperplasia, prostatic retention cyst, cavitary prostatitis, and prostatic abscess. I have used this procedure extensively in patients with prostatodynia and NBP,if there was suspicion of any obstruction (like stones) at the level of theveru, especially if there was evidence of dilated seminal vesicles, and evenmore if combined with dilated ejaculatory duct(s). net Mar 14, 2012 · Ejaculatory duct obstruction (EDO) is an uncommon but correctable cause of infertility, chronic pelvic pain and postejaculatory pain , , , . Mar 06, 2020 · Hypospermia can be caused by: Retrograde ejaculation, when the semen empties into the bladder as opposed to being expelled through the urethra and out the penis. Signs and symptoms. Ejaculatory duct obstruction can be determined from a prostate ultrasound. However, unlike sexually transmitted diseases, almost all other infections and diseases that can affect your fertility will make you ill enough that you will already have been to see your doctor about them. PUROHIT, DAVID S. The ducts diminish in size and converge towards their ends. Best to go into this informed. Albert Einstein Learning Outcomes 1. Started in 1995, this collection now contains 6760 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. 7, 8 According to Maehana et al. The sperm mix with seminal fluid in the seminal vesicles, prostate fluid from the prostate gland, and lubricants from the bulbourethral gland. Ozgök Y(1), Tan MO, Kilciler M, Tahmaz L, Kibar Y. 7 Agglutination 3. com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. gov] Symptoms associated with ejaculatory duct inflammation are manifested during orgasm and include pain or burning during ejaculation, sometimes hemospermia, a feeling of obstruction[prostatitis2000. Know the classification, types, causes, signs, symptoms, and treatment of seminal vesiculitis. Ejaculatory Duct Obstruction. In men with ejaculatory duct obstruction demonstrated by TRUS, the findings may direct testis biopsy if needed to confirm normal spermatogenesis. Can an Epididymal Obstruction or Blockage be treated? What is the epididymis? The epididymis is a thin-walled, tightly coiled duct within the scrotum that collects and stores sperm from the sperm producing (seminiferous) tubules of the testes, where sperm are manufactured. Novel methods for the diagnosis and treatment of ejaculatory duct obstruction. 2. Transurethral Resection of the Ejaculatory Duct . Usually they are in place the expected passage of the ejaculatory duct duct in Perineal pain is known as perineum pain. ZS is rare and presents the incidence of 0. In cases where the semen volume is very large (particularly >10 ml), this can indicate: Other sites include the seminal vesicle (approximately one-third), vas deferens, bladder neck, prostate to the level of the ejaculatory duct orifice, and epididymis . 5 Necrospermia 0. Prompt treatment of prostatitis should be done in order to prevent the progression of prostatitis into seminal vesiculitis. The Procedure Dec 05, 2018 · Infertility is defined as the inability to achieve pregnancy after one year of unprotected intercourse. Prostatitis. A cystoscope is passed into the urethra (the tube inside the penis) and a small incision is made in the ejaculatory duct. Sep 06, 2017 · Find out about male factor infertility and treatment options, as well as how to locate a fertility specialist in your area. Transrectal ultrasound has replaced formal vasography as the first-line diagnostic test but is not specific. Jun 13, 2018 · Seminal vesiculitis commonly occurs secondary to prostatitis; however, it can occur independently too. Seminal vesicle cysts usually are asymptomatic but may manifest as obstruction, recurrent urinary tract infections (including epididymitis), and hematospermia. Men who clearly had an infection or who had had colon surgery or who would not submit to a biopsy were not included in the study. 2016 2017 2018 2019 2020 Billable/Specific Code. Smith on pancreatic duct blockage symptoms: I believe that the ductal findings are nonspecific. Management depends on size, location Theoretically, a midline prostatic cyst can cause direct obstruction of the ejaculatory ducts by compression, but secondary fibrosis/stenosis of the ejaculatory ducts might occur on different levels between the ejaculatory duct orifice in the urethra and the epididymal junction. Jan 19, 2020 · Signs and symptoms. Articles published online under the Ahead of Print model are considered published and can be cited and quoted using the DOI as the reference source. Scrotal sonography can help to detect dilation of the epididymal head when clinical findings are equivocal. Here are answers to a few commonly asked questions about ejaculatory duct obstruction. , including 51 (42%) with laboratory signs of prostatitis. In contrast to the walls of the vas deferens, the walls of the ejaculatory ducts are thin. A urethral (u-REE-thrul) stricture involves scarring that narrows the tube that carries urine out of your body (urethra). STIFELMAN, M. Transports sperm from epididymis to ejaculatory duct. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Treatment of obstruction of the vas deferens may include antibiotic medication and/or surgery, depending on the cause. sagepub. Pathology . Hot flashes, the inability to concentrate, sleeplessness. Complications following TURED include retrograde ejaculation due to bladder neck injury and urine reflux into the ejaculatory ducts, seminal vesicles, and vasa. An obstruction of the vas deferens is not an ejaculatory duct obstruction- blockage in sperm ejaculation. Abnormalities detected included four cases of müllerian cysts, three cases of wolffian cysts, one case of anaplastic prostatic carcinoma, and various noncystic abnormalities of the seminal vesicles and ejaculatory ducts, including ejaculatory duct obstruction and seminal vesiculitis. MICHAEL D. Gross anatomy. Ejaculatory duct obstruction is an infrequent cause of obstructive azoospermia, occurring in up to 5 % of such patients. Symptoms can occur due to a multitude of reasons, but are usually benign and self-limiting, requiring no additional treatment or evaluation. /ml. Ejaculatory duct obstruction is diagnosed in approximately 10 percent of men without sperm in the ejaculate. It is considered the male counterpart of the Pediatric Annals | Although obstruction to urinary outflow in boys is sometimes obvious, many times the signs and symptoms are so vague that the diagnosis is very difficult to make. It may lead to psychosocial impairment [ 5 ]. Men may complain of discomfort in the area between the scrotum and anus. org] Taek Won Kang, Dong Deuk Kwon, Kwangsung Park and Soo Bang Ryu, Clinical Significance of Transrectal The ureter develops from a branch of the mesonephric duct called the ureteric bud. Blocked ejaculatory ducts do not cause retrograde ejaculation. Ejaculatory duct obstruction - this is a relatively rare condition where a cyst, stone, or other obstruction prevents semen from being ejaculated from the ejaculatory duct in the prostate. As a condition that can worsen with time, it could cause sperm counts to go from present to absent. Retrograde ejaculation is due to a bladder neck that is no longer functional either due to surgery or medications such as So this could look like ejaculatory duct obstructions or ejaculation issues. Dec 12, 2018 · Overview. Ejaculatory duct obstruction is a much more common and treatable cause of male subfertility then previously described. Each ejaculatory duct is formed by the union of the excretory duct of the seminal vesicle and the ampulla of the ductus deferens, and is approximately 2 cm long. Find ejaculatory duct obstruction information, treatments for ejaculatory duct obstruction and ejaculatory duct obstruction symptoms. Jul 15, 2016 · Differential Dx Ejaculatory duct obstruction Low volume Low PH Negative post ejaculatory urine analysis Dx by TRUS/Aspiration/contrast study 53. When the latter is normal a proximal obstruction is suspected. 3 Mar 2007 KEYWORDS ejaculatory duct obstruction, infertility, magnetic resonance imaging Symptoms of EDO include infertility, decreased force of 25 Jan 2019 The cause of ejaculation obstruction may vary, and may be divided into of Mullerian duct cysts is mainly determined by clinical symptoms and There each vas deferens joins the ejaculatory duct from the seminal vesicle. 1 Volume 4. Symptoms Of A Blocked Ejaculatory Duct The ejaculatory ducts are paired structures of the male reproductive system and convey seminal fluid. Complete and partial ejaculatory duct obstruction has been implicated as a cause of 1-5% of patients with male infertility. Causes include congenital cysts, such as Müllerian duct cysts, or iatrogenic injury during urethral manipulation. 11 Patients with complete It is important to distinguish ejaculatory failure from the inability to achieve an erection, premature ejaculation and retrograde ejaculation (ejaculating into the bladder and not into the penis). Rarely obstructive azoospermia is caused by congenital bilateral absence of vas deferens (CBAVD) or Young syndrome. Ejaculatory duct obstruction. Results: Of the 187 study patients 122 were evaluable with a mean PSA of 9. Surgical intervention with TURED can result in marked 4 Nov 2019 In some individuals, BFH builds up insidiously, and uremic signs and symptoms show up at the time of remedy. , , , , , , , , USG : Ultrasonography: Transrectal USG is must in patient with Azoospermia with palpable vasa and low ejaculate volume to rule out ejaculatory duct obstruction, also useful in patient with oligospermia with low semen volume with palpable vasa and normal testicular pattern to rule our duct obstruction. In men, the area between the testicles and the anus is called perineum. During a male orgasm, sperm are released from the epididymis and travel via small tubes called the vas deferens. FPnotebook. Additional tests include transrectal or scrotal ultrasonography, post-ejaculatory urinalysis, and genetic testing, which are obtained on an individual basis when indicated. Ejaculatory duct obstruction in subfertile males: analysis of 87 patients. Ejaculatory Duct Obstruction (EDO) Causes of ejaculatory duct obstruction. TUREK† From the Department of Urology, University of California-San Francisco, San Francisco, California Structural obstruction – Like BPH, all other mentioned defects precipitate the onset of structural obstruction. He added that scar tissue or surgery on the prostate, bladder, or urethra can Mar 16, 2019 · Zinner's syndrome is the rare triad of seminal vesicle cyst, ipsilateral renal agenesis, and ejaculatory duct obstruction, caused by a congenital abnormality of mesonephric development. Edward Zoltan is a Urologist in Brooklyn, NY. Keywords Ejaculatory duct obstruction. ). Describe the pathophysiology, clinical manifestations, and collaborative care of benign prostatic hyperplasia. Being able to manage these symptoms under a physician monitored program can be life changing. The count and quality of the egg-fertilizing structures might also be impacted by ejaculatory duct Among 86 patients with hemospermia, 60% showed abnormal E-MRI findings. Consequently, seniors men have Sign In; Create account. This will make it impossible for you to fertilize an egg. Prostatitis is swelling and inflammation of the prostate gland. Each ejaculatory duct is about two centimeters in length and is created when the seminal vesicle's duct merges with the vas deferens. The ejaculatory duct comprises of two parts: the epididymi (two coiled tubes) and the vas deferens (a muscular tube to carry the sperms). 14 Mar 2012 Uni- or bilateral ejaculatory duct obstruction (EDO) is a rare but another indirect sign leading towards the diagnosis of EDO, it is not specific. 4). 23. K83. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. 9 Ejaculatory failure 1. 54. May 01, 2018 · Ejaculatory duct obstruction: Transurethral resection of the ejaculatory ducts (TURED) can be used in men with ejaculatory duct obstruction e. This is known as retrograde ejaculation and is most often a consequence of medical procedures, particularly some prostate surgeries. Diagnosis and treatment of ejaculatory duct obstruction in male infertility. An estimated 15% of couples meet this criterion and are considered infertile, with approximately 35% due to female factors alone, 30% due to male factors alone, 20% due to a combination of female and male factors, and 15% unexplained. Superimposed infection may Distinction between obstructive and non-obstructive azoospermiaPrior to initiating treatment for a couple, in whom the man has azoospermia, it is important to distinguish whether the lack of sperm in the ejaculate is from an obstructive or non-obstructive process. Imaging Technology · Interventional Radiology · Mnemonics · Pathology · Radiography · Signs · Staging · Syndromes. Intestinal strictures and bowel obstruction may develop in patients with refractory sprue or celiac disease that has been untreated over a long period. Dec 21, 2016 · Both vasal and epididymal obstruction are suggested by azoospermia in the presence of a normal semen volume. On imaging by TRUS, these lesions appear to be cystic structures unilateral or bilateral along the ejaculatory duct just in Ultrasound To detect varicoceles (varicose veins) or duct obstructions in the prostate, scrotum, seminal vesicles and ejaculatory ducts; Testicular Biopsy To determine if sperm production is impaired or a blockage exists; Vasography To check the structure of the duct system and identify any obstructions Ejaculatory duct obstruction - this is a relatively rare condition where a cyst, stone, or other obstruction prevents semen from being ejaculated from the ejaculatory duct in the prostate. Also, read up on this on our site too. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The sperm could also have problems crossing the cervical mucus, which would also be considered post-testicular as well. Yet in many cases, the exact cause of the ejaculatory duct obstruction is unknown. GOLUBOFE M. Eleven of these patients had partial obstruction of the ejaculatory duct (not azoospermic) 9 of these 11 achieved an improvement in sperm density or motility postoperatively and 6 went on to achieve a pregnancy. 2 Endocrine 0. The imaging of common conditions associated with infertility, including varicocele, ejaculatory duct obstruction, seminal vesicle agenesis, and undescended testis, will be shown, as well as other conditions that can be incidentally seen. No serious intraopera-tive or postoperative complications occurred. It arises during the fourth to fifth week of pregnancy and grows dorsally and upward until it contacts the nephrogenic cord. That's because the semen found its way into your bladder instead of your urethra. Signs and symptoms are pain, infection or infertility. Jul 15, 2013 · "Some men may be born with an ejaculatory duct obstruction, but that would be found early on in life," said Farooq. The management of oligoasthenospermia has undergone changes in this era of assisted reproductive techniques (ART), bringing hope for previously untreatable cases of oligospermia. Due to aspermia/azoospermia, male infertility can be demonstrated by affected men if both ejaculatory ducts are completely obstructed. 2008]. and Hendry, W. [3] Another underlying cause for this phenomenon may be ejaculatory duct obstruction. −It surrounds the prostatic urethra, & is transpierced by the ejaculatory duct. F. EDO is a congenital or acquired condition, it is described to be the underlying cause of infertility in approximately 5% of infertile men. You are here: Urology Textbook > Prostate > Seminal vesicle stones. In patients with symptoms of CPPS with associated ejaculatory pain, the diagnosis of EDO should strongly be considered. This condition renders the transport of sperm or other important reproductive substances difficult, or in some cases impossible. Shakti Chandra (signs and symptoms, pathophysiology Obstruction 6. Low-volume azoospermia (< 1. 5 mL) is more suggestive of ejaculatory duct obstruction than vasal or epididymal obstruction. They vary in size and are benign. Jan 04, 2018 · Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. Symptoms associated with ejaculatory duct obstruction can be quite variable but include infertility, decreased force of ejaculation, pain on or after ejaculation, 17 Apr 2019 managemen in patients having ejaculatory duct obstruction, proper enlarged prostate in view of lower urinary tract symptoms might not. Goluboff Purpose of review We surveyed the growing literature on ejaculatory duct obstruction and provide suggestions regarding its diagnosis and management. At this point, these ducts travel through the prostate and, at MR images demonstrate left ejaculatory duct obstruction This case was donated to Radiopaedia. ), function to mix the sperm stored in the ampulla Blockage of Ejaculatory Duct. Oct 23, 2018 · Benign prostatic hyperplasia can cause you to acquire ejaculatory duct obstruction. Retrograde ejaculation Other causes of obstruction include trauma from surgical procedures on the testicles or from intentional obstruction of the flow of sperm due to vasectomy. ejaculatory duct obstruction - MedHelp's ejaculatory duct obstruction Center for Information, Symptoms, Resources, Treatments and Tools for ejaculatory duct obstruction. O Ejaculatory duct obstruction can be the result of surgical scarring during vasectomy procedures, cancerous tumors, or cysts that grow in the prostate. Digital rectal examination is performed to examine the prostate gland, seminal vesicles, and possible cysts that can cause ejaculatory duct obstruction. Of the 86 patients, 45 had seminal vesicle or ejaculatory duct hemorrhage. Cystic obstructions are usually congenital (Mu¨llerian duct cyst or urogenital sinus/ejaculatory duct cysts) and are medially located in the prostate between the ejaculatory ducts. P. The sites of reproductive tract obstruction are epididymis, vas deferens and ejaculatory ducts. Transurethral Resection of the Ejaculatory Duct (TURED) Ejaculatory duct blockage can be treated surgically. So with post-testicular, there is a problem with the sperm getting to where it needs to go. ejaculatory duct obstruction (EDO). Thus, the efflux of (most constituents of) semen is not possible. 2, 24 Jan 02, 2016 · The only true way to check for obstruction is to perform a vasogram. ejaculatory duct obstruction signs
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Digital Video Recorder(Dvr) Market Provides in-depth analysis of the Digital Video Recorder(Dvr) Industry, with current trends and future estimations to elucidate the investment pockets By 2027
Get a Sample Copy of the Digital Video Recorder(Dvr) Market Study for free, including key facts & figures, graphs, charts, and table of contents@ https://www.marketexpertz.com/sample-enquiry-form/91217
The market report highlights the products available in the market, lucrative strategic initiatives, and the market share held by the leading companies in the industry. It offers a 360 perspective of the global market, underlining the existing competitive landscape of the Digital Video Recorder(Dvr) business. The study predicts the market size, valuation, and market share of the global market during the forecast years.
Every market segment and sub-segment is thoroughly examined in the report. The competitive scenario of the market has been evaluated by studying various factors, including an assessment of the leading manufacturers, pricing analysis, and gross revenue. The Global Digital Video Recorder(Dvr) Market report gives all essential information relating to the worldwide business comprehensively. It also sheds light on the drivers and restraints operating in the Digital Video Recorder(Dvr) market, which are expected to affect the future progress of the industry.
The study primarily helps the readers decipher the market segments or regions or countries that control a considerable portion of the Digital Video Recorder(Dvr) sector so the readers can maximize their return on investments and enhance the profitability of their operations. The study outlines the competitive landscape of the Digital Video Recorder(Dvr) industry and an in-depth analysis of the leading vendors and players operating in the industry. The study is intended to help the readers formulate lucrative strategies and capitalize on the existing growth opportunities in the Digital Video Recorder(Dvr) sector in the coming years.
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Governmental regulations and standards for increasing usage of Digital Video Recorder(Dvr)
Increasing demand due to growing awareness of the applications of Digital Video Recorder(Dvr)
Lack of effectiveness of existing Digital Video Recorder(Dvr)
High costs associated with Digital Video Recorder(Dvr)
Growth Opportunities
Technological advancements in the Digital Video Recorder(Dvr) sector
Increasing demand in the Asia Pacific region
The timeline of the study is as follows:
Historical years - 2016-2018
Base year - 2019
Forecast period - 2020 to 2027
The report underlines the investment opportunities available in the global market for stakeholders, along with an in-depth evaluation of the competitive landscape and product range offered by the key players.
To inquire about report customization, visit@ https://www.marketexpertz.com/customization-form/91217
Regions covered in the report:
North America
Asia Pacific
Latin America
Middle East & Africa
Countries mapped in the study:
Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, Colombia, Japan, United States, Mexico, South Africa, Nigeria, Tunisia, Morocco, Germany, United Kingdom (UK), the Netherlands, Spain, Italy, Turkey, Russia, France, Poland, Israel, United Arab Emirates, Qatar, Saudi Arabia, Taiwan, South Korea, Singapore, India, and New Zealand.
Key highlights of the report:
A competitive assessment of the global market, comprising of the parent market
Notable developments in the market dynamics
Market segmentation up to the second or third level
Historical, current, and estimated size of the market, by studying the industry in terms of both value and volume
Investigation of recent developments in the Digital Video Recorder(Dvr) industry
Market shares controlled and strategies adopted by key players
Emerging segments and regional markets
An objective assessment of the trajectory of the market
Recommendations to companies for strengthening their foothold in the market
Outline of the Table of Contents of the Global Digital Video Recorder(Dvr) Market Report:
Chapter 1: Introduction, vital industry aspects, aims of the study, and research scope of the Digital Video Recorder(Dvr) market
Chapter 2: Executive Summary - basic data of the Digital Video Recorder(Dvr) Market
Chapter 3: Market Dynamics - Drivers, Trends, Opportunities, and Risks in the Digital Video Recorder(Dvr) Industry
Chapter 4: Digital Video Recorder(Dvr) Market Analysis, SWOT Analysis, Porter's Five Forces Analysis, Value Chain Analysis, PESTEL analysis, Market Entropy, Patent/Trademark Analysis
Chapter 5: Market Segmentation by Type, Application, End-User, and Region 2016-2018
Chapter 6: Leading manufacturers in the Digital Video Recorder(Dvr) market, along with Competitive Landscape, Peer Group Analysis, BCG Matrix, and elaborate Company Profiles
Chapter 7: Extensive investigation of the market by segments, by regions, and by manufacturers with revenue share and sales by key countries in the major regions included in the report.
Chapter 8 & 9: Displaying the Appendix, Research Methodology, and Sources of Data Collection
Read the detailed Report description and table of contents@ https://www.marketexpertz.com/industry-overview/2020-global-digital-video-recorder(dvr)-consumption-market
Key issues addressed in the study:
Who are the leading manufacturers, and what are the expansion strategies adopted by them to stay ahead in the Global Digital Video Recorder(Dvr)market?
What do the outcomes of Porter's five forces analysis and PESTEL analysis indicate about the future of the Global Digital Video Recorder(Dvr)market?
What are the growth prospects and threats that players engaged in the Global Digital Video Recorder(Dvr)market will face in the forecast duration?
What is the result of the SWOT analysis performed on key vendors?
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Philip asked in Computers & InternetProgramming & Design · 1 month ago
What website to help me with programming questions?
3 Answers
- EddieJLv 71 month ago
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- StarryskyLv 71 month ago
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- Mariana (poem)
Mariana is a poem by Alfred, Lord Tennyson published in 1830. The poem follows a common theme in much of Tennyson's work—that of despondent isolation. The subject of Mariana is a woman who continuously laments her lack of connection with society. The isolation defines her existence, and her longing for a connection leaves her wishing for death at the end of every stanza. The premise of Mariana originates in William Shakespeare's Measure for Measure, but the lover of Tennyson's Mariana does not return at the end of the poem. Tennyson's version was adapted by others, including John Everett Millais and Elizabeth Gaskell, for use in their own works. The poem was well received by critics, and it is described by critics as an example of Tennyson's skill at poetry.
Tennyson wrote Mariana in 1830 and printed it within his early collection Poems, Chiefly Lyrical.[1] Previously, he contributed poems to the work Poems by Two Brothers (1827), where his early poems dealing with isolation and memory can be found. The theme was continued in the later collection, with poems like Mariana, Ode to Memory, and others representing the earlier poems.[2]
During a visit to the Pyrenees during the summer of 1830, Tennyson sought to give aid to Spanish rebels. During that time, he was affected by his experience and the influence appears in Mariana in the South,[3] which was published in 1832; it is a later version that follows the idea of The Lady of Shalott.[4]
Many of Tennyson's poems are in the form of a dramatic monologue. However, Mariana, like The Lady of Shallott, is more accurately a lyrical narrative. It contains elements of dramatic monologies in that it contains a refrain that carries through the poem as found in Oriana and other poems. Oriana is completely a dramatic monologue and Mariana is not because Tennyson represents how the title figure is unable to linguistically control her own poem, which reinforces the themes of the poem. This technique is used again in Tennyson's later poem, The Two Voices.[5] The rhyme scheme of the poem, abab cddc efef, is different than the standard ballad rhyme that serves to contain the poem then allow a free expression. The middle quatrain of the stanzas returns in theme to the beginning in a cyclical pattern while the last quatrain's lines contain the same words.[6]
Within the poem, Tennyson does not teach the audience what melancholy means. Instead, he describes its various aspects as he begins:[7]
- With blackest moss the flower-plots
- Were thickly crusted, one and all:
- The rusted nails fell from the knots
- That held the pear to the gable-wall.
- The broken sheds looked sad and strange:
- Unlifted was the clinking latch;
- Weeded and worn the ancient thatch
- Upon the lonely moated grange.
- She only said, "My life is dreary,
- He cometh not," she said;
- She said, "I am aweary, aweary;
- I would that I were dead!" (lines 1–12)
The narrator of the poem is disconnected from Mariana, and he is able to see what she cannot. In particular, he is able to describe the "sweet heaven" whereas Mariana refuses to take in the scene as well as she is unable to understand the movement of time:[8]
- Her tears fell with the dews at even;
- Her tears fell ere the dews were dried;
- She could not look on the sweet heaven,
- Either at morn or eventide. (lines 13–16)
She is surrounded by stillness and there is little movement within the poem. The water is calm and there is only the growth of moss:[8]
- About a stone-cast from the wall
- A sluice with blackened waters slept,
- And o'er it many, round and small,
- The clustered marish-mosses crept. (lines 37–40)
Mariana is trapped by her surroundings, and the last stanza begins with her becoming sensitive to sound as she starts to mentally lose her place in reality:[9]
- The sparrow's chirrup on the roof,
- The slow clock ticking, and the sound
- Which to the wooing wind aloof
- The poplar made, did all confound
- Her sense; (lines 73–77)
The poem ends with a description that even the sunlight is unable to do anything more than reveal dust in her home:[8]
- but most she loathed the hour
- When the thick-moted sunbeam lay
- Athwart the chambers, and the day
- Was sloping toward his western bower. (lines 77–80)
The poem ends with an altered version of the refrain, which serves to show that although she wishes her death she is still alive and, in the final moment, allows her to end the poem instead of allowing the poem to end her:[10]
- Then, said she, "I am very dreary,
- He will not come," she said;
- She wept, "I am aweary, aweary,
- O God, that I were dead!" (lines 81–84)
Tennyson's poems traditionally rely on the use of visual imagery for effect. In Mariana, Tennyson instead emphasizes auditory imagery that serves to emphasize her solitude. Her hearing is sensitive and she is able to hear every sound, which only reveals the silence of her surroundings. Her solitude and loneliness causes her to be unable to recognize the beauty of her surroundings, and the world to her is dreary.[11] In contrast to Tennyson's other poems, including The Lady of Shalott, there is no movement within Mariana. There is also a lack of a true ending within the poem, unlike the later version Mariana in the South, which reworks the poem so there is a stronger conclusion that can be found within death.[12]
The character of Mariana is connected to Shakespeare's Measure for Measure; there is a direct quotation of Shakespeare's play in regards to a character of the same name. In Shakespeare's play, Mariana is rejected by the character Angelo and lives alone as she pines over her love.[13] Tennyson's version is set in Lincolnshire, not Vienna as in the Shakespeare play. This makes the characters completely English. Additionally, the scene within the poem does not have any of the original context but the two works are connected in imagery with the idea of a dull life and a dejected female named Mariana.[14] However, Tennyson is not the only one that uses the image; John Everett Millais's painting Mariana is based on Tennyson's version of Mariana and lines 9 through 12 of Tennyson's poem were used for the catalog description of the painting. Similarly, Millais's version served as the inspiration for Elizabeth Gaskell's novel, Mariana. Tennyson's Mariana and Gaskell's main character, Ruth, are sensitive to the sounds around them and are constantly looking out of their window in image that represents their imprisonment within their homes. The image of Mariana used by Tennyson and the later works are equally of a woman who is weary.[15]
The depictions of Mariana by Tennyson and in later works are not the same. The difference with Millais's depiction is not in the image of a forlorn woman or of a woman who is unwilling to live an independent life; instead, it is her sexualized depiction that is greater than found in Tennyson. His version also removes the dreariness of Tennyson's and replaces it with a scene filled with vibrant colours. Gaskell's depiction is of Ruth is similar to Tennyson in her weariness and wanting to die. However, she is a sexually independent figure when she rejects her lover who has returned. Tennyson's character, on the other hand, would likely have happily accepted her lover. While Tennyson's character cannot recognize beauty within nature, Gaskell's character is able to turn to nature in order to gain spiritually in a manner similar to the Romantic poems, including Tintern Abbey by William Wordsworth or This Lime-Tree Bower My Prison by Samuel Taylor Coleridge.[16] There is also a connection with Mariana's condition and the condition within Coleridge's Dejection: An Ode. However, the narrator at the end of Dejection is able to be roused into movement whereas Mariana never reaches that point. Furthermore, Mariana is unlike the Romantic poems because the character is not one with nature or able to achieve transcendence through imagination. Furthermore, there is little outside of Mariana that exists within the poem as Mariana's mood does not respond to changes in nature.[17]
In terms of Tennyson's other poems, there is a strong connection between the character Mariana and Tennyson's other female characters. Both Mariana and Oriana have characters that experience a mental imprisonment, which are revealed in the poetic refrains. However, Oriana is able to have control over her own story when she serves as narrator of it while Mariana is denied control by Tennyson's use of a third-person narrative structure. The difference is further compounded by Oriana's imprisonment coming from her own memories while Mariana's is the external results of her lover having not returned. The character Fatima of Fatima is connected to Mariana simply because she is a reversal of Mariana's character: Fatima, like Mariana, waits for her lover but suffers from an intense passion that causes her to lose control over her mind while also being able to experience the world around her. The character Oenone of Oenone is a combination of aspects from both Mariana's and Fatima's characters.[18] In the revised version Mariana in the South, the second Mariana is similar to the Lady of Shalott in that they both live in a world between fantasy and reality.[19]
Many sources for the poem and passages within the poem have been suggested by various editors or critics of Tennyson's poet. These sources include passages in the poetry of Sappho and Cinna, Virgil's Aeneid, Horace's Odes, Shakespeare's Romeo and Juliet and Measure for Measure, John Milton's Lycidas, Samuel Rogers's Captivity, and John Keats's Isabella, Sleep and Poetry, and The Eve of St. Agnes. However, there is little evidence to suggest that Keats, though well respected by Tennyson, influenced the poem although Keats's Isabella is linguistically similar to Mariana and could serve as parallels to each other. If Isabella is parallel to Mariana in terms of dealing with women who have lost their lovers, so too could Virgil's Aeneid be described as a parallel to the poem.[20]
There is no evidence to suggest that Cinna's poems influenced Tennyson since Tennyson admitted to not having read Cinna. Thematically, Mariana is different from the writing of Horace although Tennyson does rely on a lyrical style similar to both Cinna and Horace. A relationship with the poetry of Sappho is more likely than to Cinna, as there is a sexual element to Sappho's poem as well as Tennyson favouring Sappho as a poet. The poem by Rogers was a favourite of Tennyson's and has a sexual element that is similar to Tennyson; both poems describe a woman longing for her lover as she is isolated and in a captive state. There are probably intentional echos of Romeo and Juliet and Measure for Measure within the poem, with the latter poem being the source of Mariana's character. The reference to Lycidas is minor and is more likely a generic phrase than a direct use of Milton's poem.[21]
Critical response
Johnathon Wearworth wrote in his early career, "The poem [Mariana] is an outstanding insight into the primative ideal that is Tennyson's take on life in all its worthlessness."
In an early review within the 1831 Westminster Review, J. Fox praises the depiction of women within the whole of Poems, Chiefly Lyrics and says that Tennyson's "portraits are delicate, his likenesses [...] perfect, and they have life, character, and individuality. They are nicely assorted also to all the different gradations of emotion and passion which are expressed in common with the descriptions of them. There is an appropriate object for every shade of feeling, from the light touch of passing admiration to the triumphant madness of soul and sense, or the deep and everlasting anguish of survivorship."[22] A review by a "Professor Lyall" in 1878 argues, "As descriptive poetry, and for that feature of realistic description so characteristic of Tennyson's muse, 'Mariana' has, perhaps, not been surpassed even by him."[14]
Harold Nicolson, in 1923, view the dreariness of Mariana and Tennyson's other early works as an aspect that makes the early works better his later works.[23] In T. S. Eliot's 1936 Essays Ancient and Modern, he praises Tennyson's ability to represent the visual, tactile, auditory, and olfactory aspects of the scene.[24] Later in 1972, Christopher Ricks argues that the poem is "one of Tennyson's masterpieces in the art of the penultimate."[25]
Elaine Jordan argues, in her 1988 analysis of Tennyson's works, that the poem's depiction of "self-infolding [...] is a negation which involves the drawing-in of forces in order perhaps to assert the self differently. Mariana is the most powerful expression, very early, of such a moment, through its assertiveness exists only as strong gloom in image and rhythm, not as narrative possibility except in the desire for an end to it all preferred over patience."[6] In 2002, Ruth Glancy writes, "In the last stanza, Mariana's grip on the present is loosening, and Tennyson's mastery of sound and images is evident (even in thise early poem) in his description of the house that echoes her utter desolation".[9] Anna Barton, in her 2008 analysis, declares Mariana "the most famous heroine of the 1830 volume" and that both The Ballad of Oriana and Mariana are "poems of greater substance that develop the poetic that Tennyson begins to establish in his briefer songs."[26]
- ^ Hugh 1988 p. 54
- ^ Barton 2008 p. 20
- ^ Land 1970 p. 20
- ^ Pattison 1979 pp. 55–56
- ^ Hughes 1988 pp. 26, 54, 107
- ^ a b Jordan 1988 p. 60
- ^ Eagleton 2007 p. 111
- ^ a b c Jordan 1988 p. 61
- ^ a b Glancy 2002 p. 132
- ^ Barton 2008 p. 27
- ^ Andres 2004 pp. 62, 64
- ^ Jordan 1988 p. 59
- ^ Andrews 2004 p. 62
- ^ a b Lyall 1878 p. 478
- ^ Andrews 2004 pp. 59–63
- ^ Andrews 2004 pp. 63–64
- ^ Jordan 1988 p. 62
- ^ Hughes 1988 pp. 54–55, 64–65
- ^ Pattison 1979 pp. 57
- ^ Pattison 1979 pp. 8–9
- ^ Pattison 1979 pp. 9–12
- ^ Fox 1831 pp. 210–224
- ^ Bayley 2005 pp. 142–143
- ^ Singh 2005 p. 7
- ^ Ricks 1972 p. 49
- ^ Barton 2008 pp. 22–23
- Andres, Sophia. The Pre-Raphaelite Art of the Victorian Novel. Columbus: Ohio State University Press, 2004.
- Barton, Anna. Tennyson's Name. Aldershot: Ashgate, 2008.
- Bayley, John. The Power of Delight. New York: W. W. Norton, 2005.
- Eagleton, Terry. How to Read a Poem. Oxford: Blackwell, 2007.
- Fox, J. Review of Poems, Chiefly Lyrical. Westminster Review 24 (January 1831).
- Glancy, Ruth. Thematic Guide to British Poetry. Westport: Greenwood Press, 2002.
- Hughes, Linda. The Manyfacèd Glass. Athens, Ohio: Ohio University Press, 1988.
- Jordan, Elaine. Alfred Tennyson. Cambridge: Cambridge University Press, 1988.
- Lang, Andrew. Alfred Tennyson. New York: AMS Press, 1970.
- Lyall. "Tennyson: A Criticism", Rose-Belford's Canadian Monthly. Vol 1 (July–December 1878).
- Pattison, Robert. Tennyson and Tradition. Cambridge, Mass.: Harvard University Press, 1979.
- Ricks, Christopher. Tennyson New York: Macmillan, 1972.
- Singh, Rajni. Tennyson and T. S. Eliot. New Delhi: Sarup & Sons, 2005.
Alfred Tennyson, 1st Baron Tennyson People
- Arthur Hallam (friend)
- Emily Tennyson (wife)
- Emilia Tennyson (sister)
- Hallam Tennyson (son)
Early poetry
- "The Deserted House"
- "The Lady of Shalott"
- The Lotos-Eaters
- Mariana
- Oenone
- "Break, Break, Break"
- "The Charge of the Light Brigade"
- The Day-Dream
- Idylls of the King
- In Memoriam A.H.H.
- Lady Clara Vere de Vere
- "Locksley Hall"
- "Now Sleeps the Crimson Petal"
- The Princess
- Sir Galahad
- St Simeon Stylites
- "Tears, Idle Tears"
- The Two Voices
- "Ulysses"
Late poetry
- "Crossing the Bar"
- "The Eagle"
- "Enoch Arden"
- Maud
- "Ring Out, Wild Bells"
- "Tithonus"
Miscellaneous works Related articlesCategories:
- 1830 poems
- Narrative poems
- Poetry by Alfred Tennyson
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Oenone (poem) — Oenone or Œnone is a poem written by Alfred Lord Tennyson in 1829. The poem describes the Greek mythological character Oenone and her witnessing of the events in the life of her lover, Paris, as he is involved in the events of the Trojan War.… … Wikipedia
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Best 325 of Self care quotes - MyQuotes
Sharon Pearson
We are stronger for knowing each other, braver because we trust each other, wiser than when we're alone.
Lailah Gifty Akita
Whenever you feel exhausted, take time to relax, refresh and recharge.
Malebo Sephodi
It is important to cultivate love in all branches of my life
It is possible to stop the mental chatter, regain your emotional balance and live free of stress and anxiety when you create a new habit of daily energetic self-care using the four powerful tools in Nurturing Wellness through Radical Self-Care.
Akiroq Brost
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Sam Owen
How we care for ourselves gives our brain messages that shape our self-worth so we must care for ourselves in every way, every day.
Self-care is how you take your power back.
The phrase 'Love one another' is so wise. By loving one another, we invest in each other and in ourselves. Perhaps someday, when we need someone to care for us, it may not come from the person we expect, but from the person we least expect. It may be our sons or daughter-in-laws, our neighbors, friends, cousins, stepchildren, or stepparents whose love for us has assigned them to the honorable, yet dangerous position of caregiver.
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Our bodies play a huge role in the accomplishment of our goals and our overall happiness. Embodiment... is about tuning into our physical bodies and learning ways to support our health and well-being so that we can do what we need to do, and enjoy the journey.
Vironika Tugaleva
Compassion is essential, but it's not a substitute for self-expression, or self-respect, or self-compassion. Emotional self-care is also essential, but gently soothing our wounds does not replace communicating about them.
Eleanor Brownn
Negativity is positively bad for your health.
Lailah Gifty Akita
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Malebo Sephodi
Stop looking for healing in places Healing is not static Healing is a journey
Lebo Grand
If your sensuality is not at the top of your priority list, you have not yet discovered the true meaning of self love. .
Amy Leigh Mercree
The concept of self-care relates to small rituals that can restore feelings of well-being that you may have neglected when dealing with life's tribulations.
Paul C. Nagel
John Quincy Adams' depression was treated by his aunt with some reliable remedies, first sleep and then compassion. She said, " He was half cared for by having someone to care for him.
Amy Leigh Mercree
Dating from the place of internal emotional safety tells your being that you will care for it well.
Sharon Pearson
We're not here to hide under fears. We're here to do cool shit despite them.
Charlotte Eriksson
I get so god damn lonely and sad and filled with regrets some days. It overwhelms me as I'm sitting on the bus; watching the golden leaves from a window; a sudden burst of realisation in the middle of the night. I can't help it and I can't stop it. I'm alone as I've always been and sometimes it hurts…. but I'm learning to breathe deep through it and keep walking. I'm learning to make things nice for myself. To comfort my own heart when I wake up sad. To find small bits of friendship in a crowd full of strangers. To find a small moment of joy in a blue sky, in a trip somewhere not so far away, a long walk an early morning in December, or a handwritten letter to an old friend simply saying "I thought of you. I hope you're well." No one will come and save you. No one will come riding on a white horse and take all your worries away. You have to save yourself, little by little, day by day. Build yourself a home. Take care of your body. Find something to work on. Something that makes you excited, something you want to learn. Get yourself some books and learn them by heart. Get to know the author, where he grew up, what books he read himself. Take yourself out for dinner. Dress up for no one but you and simply feel nice. it's a lovely feeling, to feel pretty. You don't need anyone to confirm it. I get so god damn lonely and sad and filled with regrets some days, but I'm learning to breathe deep through it and keep walking. I'm learning to make things nice for myself. Slowly building myself a home with things I like. Colors that calm me down, a plan to follow when things get dark, a few people I try to treat right. I don't sometimes, but it's my intent to do so. I'm learning.I'm learning to make things nice for myself. I'm learning to save myself. I'm trying, as I always will.
Akiroq Brost
We can't be all things to all people because we are everything to ourselves.
Miya Yamanouchi
Our soul is like a soft and gentle flower, it needs to be nurtured, cared for, tended to, with sufficient sunlight, fresh air and freedom to bloom into its most precious and beautiful form. This, my friend, is self-love.
Today is the day to cast your worries on God and breathe in new life. Your past does not define who you are today.
Lailah Gifty Akita
Be X-love.
Lailah Gifty Akita
My body is holy temple.
Malebo Sephodi
Self-love for me means accepting who I am and dealing with the perceived flaws that I live with. It is also accepting that sometimes I struggle with feelings of inadequacy and I do not think that I am enough. The point to all of this, is acknowledging this part about me. When I acknowledge it then it becomes easy for me to seek self-love through managing the moments when I don't feel like I love myself. I am constantly working towards finding ways that enable me to value myself.
Malebo Sephodi
Take time off... The world will not fall apart without you
Self-care is taking all the pressures you are facing right now, and deciding to which you will respond, and how.
When I got home, I took a bat and examined my back in detail in the bathroom mirror. This tattoo would be for myself and no-one else. It wasn't just because I was about to end my relationship with Iro, it was because I wanted to make some serious changes deep down inside me… My torso - my back and front – and my shoulders, breasts, and upper arms were decorated with a vibrantly coloured work of art. I knew it had been the right thing to do… When I looked at that beautifully crafted tattoo, I was filled with a sense of total contentment I had never experienced before. I felt as though I had been set free.
Sharon Salzberg
To truly love ourselves, we must open to our wholeness, rather than clinging to the shivers of ourselves represented by old stories. Living in a story of a limited self – to any degree – is not love.
Sharon Pearson
People want to know they matter. They want to know they make a difference. They wan to connect with their authentic selves and they want to experience joy.
Stop what you are doing. Go outside and breathe. The world will not end if you take ten minutes for yourself.
Vironika Tugaleva
The most profound personal growth does not happen while reading a book or meditating. It happens in the throes of conflict, when you are angry, afraid, frustrated. It happens when you are doing the same old thing and you suddenly realize that you have a choice.
Steve Goodier
Bring it up, make amends, forgive yourself. It sounds simple, but don't think for a second that it is easy. Getting free from the tyranny of past mistakes can be hard work, but definitely worth the effort. And the payoff is health, wholeness and inner peace. In other words, you get your life back.
Miya Yamanouchi
Prioritise self-care & incorporate a MINIMUM of 60 mins 'ME TIME' into your daily routine. YES THERE ARE enough hours in the day. NO EXCUSES.
you know what is stupidity? underestimating self
Agatha Christie
Mademoiselle, I speak as a friend. Bury your dead! ... Give up the past! Turn to the future! What is done is done. Bitterness will not undo it.' 'I'm sure that would suit dear Linnet admirably.' Poirot made a gesture. 'I am not thinking of her at this moment! I am thinking of you. You have suffered - yes - but what you are doing now will only prolong the suffering.
A good doctor is not one who takes care of you but one who teaches you how to take care of yourself.
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Be lovable.
The Self Care Formula is simple. It is NITO(5R)...that is Nutrients In and Toxins Out in the 5 Realms the body works in (Mental, Emotional, Physical, Environmental and Spiritual). Unfortunately, we are doing TINO(5R) that is toxins in and nutrients out.
Michael Pollan
I could, like some of the meat we were cooking, relax into it, clear my mind of competing desires & give myself over to the work... This time became a kind of luxury. And that is precisely when I began to truly enjoy the work of cooking.
Laurie Buchanan
Self-care is a deliberate choice to gift ourself with people, places, things, events, and opportunities that recharge our personal battery and promote whole health—body, mind, and spirit.
Richie Norton
Selfishness at the expense of others is bad. Self-care for the betterment of others is good.
Casey Renee Kiser
I forgot who I was before the (space) suit, before gravity was ripped from my vocabulary and I mastered the art of drifting
Theodore Roethke
I do not laugh; I do not cry; I'm sweating out the will to die. My past is sliding down the drain; I soon will be myself again.
Dana Arcuri
Truly, sacred rest is soul care. We honor quiet time alone with God. We intentionally step away from the chaos of life. We unplug from noise and distractions. We relish moments of tranquility.
Vironika Tugaleva
When you love people, you are curious about who they are, what they think, and how they feel. You watch them closely, wondering about their experience and what you can do to make it more enjoyable. You feel compassion for their pain and seek to make it more bearable. You are eager to learn the unique language of their existence. You want to under-stand them, inspire them, heal them. What if you could look at yourself this way?
One of the things that strikes me most though is how some people don't realise they're self-harming. The phrase 'self-harm' brings up thoughts of 'cutting', but that's only a small portion of it. When you drink excessively to drown your sorrows to the point you throw up and can't see straight and/or, like a girl at my school, ended up being driven to hospital to have her stomach pumped, you've brought harm to yourself. If you take drugs to feel numb and it becomes an addiction that you can't break, you've self-harmed. When you starve yourself or binge eat to fit the latest fashions, you're pushing your body further than it can go. We need to start treating ourselves how we deserve to be treated, even if you feel that no one else does. Prove to the world you ARE worth something by treating yourself with the utmost respect and hope that other people will follow your example. And even if they don't, at least one person in the world is treating you well: YOU.
Lailah Gifty Akita
Make time daily to nurture your physical, mental and emotional health.
Sharon Pearson
Don't compromise to make people comfortable. Be the example.


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A nation that combines the America predilection towards violence, the American stockpile of weapons and the American lack of empthy for the earth's humiliated peoples is a dangerous nation. Votes: 0


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Viewing Listing MLS# 2001705
No Recent Price Change
9506 Lake Dr.
Myrtle Beach, SC 29572
- Residential
- Detached
- Active
Agent Remarks
Elegance awaits as you arrive at this stunning, lakefront estate in Dunes Cove. The all brick, slate-roofed home was designed by renowned architect Harold Riddle, built as his dream home. With a French influence throughout and architectural elements from his travels abroad, this property is one of a kind. Modern, updated rooms showcase oversized windows that bring the outside in. The backyard boasts a custom designed pool veranda with two magnificent live oaks that frame the large lake. Egrets fly and fish are in abundance. Take a canoe ride down the lake to The Dunes Golf courses' Famous Hole 13! This estate is a tucked away secret in the heart of Myrtle Beach! The composition of this home is organic. An Italian marble entrance foyer, marble bathrooms, Venetian plaster walls, a hand-carved walnut French mantel, 7†white oak hardwood floors, handmade Mexican kitchen tiles, stone countertops, walk-in cedar closet, custom designed wrought iron fencing, oversized glass and copper front door lanterns from Paris. This monochromatic, professionally decorated home provides both interior and exterior spaces that ingeniously function in a truly beautiful environment. Inspiration from the past yet contemporary in appeal, this enchanting home will remain etched in your memory. The property had a major renovation in 2014. It is a rare and unique property. Main Level: Foyer, Great Room, Den, Butlers Pantry, Kitchen, Dining Room, Powder Room, Bedroom and Bath, Master Suite. Upper Level: Two Bedrooms, Bathroom, Cedar Closet, Bonus Room, and Two Walk-in Attics. Lower Level: Entertainment Room, Bathroom, Laundry Room, Garage Apartment, Garage, and Storage Closets. Exterior: Heated Pool and Jacuzzi, Two Story Tree Fort, Covered Loggia with Slate Deck and Gas Fire Pit, and Outdoor Bar. Only a short walk or golf cart ride to the beach, less than a half mile to many restaurants, close to shopping and entertainment and Grand Strand Regional Hospital. Buyer is responsible for verification of all measurements and square footages.
Baths Info
Fullbaths: 4
Halfbaths: 2
Master Bath: Double Sink, Garden Tub, Shower, Vanity
Building Info
Style: Traditional
Construction: Resale
Year Built: 1965
Furnished: No
Interior Features: Wshr/Dryer Connection, Fireplace
Floor Cover: Tile, Wood, Carpeting, OTHER
Levels: Three or More
Foundation: Crawl
Exterior Features
Exterior Finish: All Brick Home
Exterior Features: Patio, Front Porch, Rear Porch, Pool-Outdoor on Property
Original Price: $1,490,000
HOA Info
Hoa Frequency: Voluntary HOA
Lot Info
Acres: 0.86
Lot Description: Rectangular
Lot Location: Lake/Pond, East of Bus 17, In Golf Course Community
Lvt Date: 2020-01-23 00:00:00
Misc Info
Lat: 33.77359
Lon: -78.793979
Parking Info
Parking Capacity: 6
Parking Type: Attached 2-Car
Property Info
Class Type: Detached
County: Horry
Possession: Closing
Rooms Info
Beds: 4
Great Family Room: 22X16
Livingroom: Fireplace
Dining Room: Formal
Family Rm Great Rm: Wet Bar, Paneling, Fireplace
Kitchen: Range, Work Island, Dishwasher, Garbage Disposal, Refrigerator, Microwave, Breakfast Bar, Pantry, Breakfast Nook, Freezer, Range Hood, Stainless Steel Apps., Solid Surface Countertops
Other Rooms: Den/Study/Library, 1st Floor Bedrooms, 1st Floor Baths, Foyer, Laundry/Utility
Lease Info
Sale Or Rent: For Sale
Stipulation Of Sale: None
SqFt Info
Est Heated Sqft: 5001-5100
Utilities / HVAC
Heating Cooling: Central Heat, Central Air, Electric, Gas
Waterheater: Electric, Tankless
Utilities Available: Electricity, Natural Gas, Water Public, Sewer
Elem: Myrtle Beach Elementary School
Middle: Myrtle Beach Middle School
High: Myrtle Beach High School
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