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Endoscopic extraction of an ejaculatory duct calculus to treat obstructive azoospermia.
J Endourol. 2001 Nov; 15(9):949-50.JE

Abstract

Calculous obstruction of an ejaculatory duct is an uncommon cause of azoospermia or low-volume oligospermia in the infertile man. We report the case of a 32-year-old man with azoospermia, low ejaculate volume, and transrectal ultrosonography (TRUS) findings of bilateral seminal vesicle distention. On cystoscopy for planned transurethral resection of the ejaculatory ducts, a calculus obstructing the right ejaculatory duct at the verumontanum was discovered and removed. Three months later, semen analysis showed improvements in volume, sperm concentration, and sperm motility. An ejaculatory duct calculus should be included in the differential diagnosis of obstructive azoospermia or low-volume oligospermia. Magnetic resonance imaging or TRUS may be advisable to identify ductal calculi.

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Publisher Full Text

Authors+Show Affiliations

Gordon Z
Department of Urology, University of Minnesota Medical School, Minneapolis 55455, USA.
Monga M
No affiliation info available

MeSH

AdultCalculiConstriction, PathologicCystoscopyDiagnosis, DifferentialEjaculatory DuctsGenital Diseases, MaleHumansMaleOligospermia

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11769853

Citation

Gordon, Z, and M Monga. "Endoscopic Extraction of an Ejaculatory Duct Calculus to Treat Obstructive Azoospermia." Journal of Endourology, vol. 15, no. 9, 2001, pp. 949-50.
Gordon Z, Monga M. Endoscopic extraction of an ejaculatory duct calculus to treat obstructive azoospermia. J Endourol. 2001;15(9):949-50.
Gordon, Z., & Monga, M. (2001). Endoscopic extraction of an ejaculatory duct calculus to treat obstructive azoospermia. Journal of Endourology, 15(9), 949-50.
Gordon Z, Monga M. Endoscopic Extraction of an Ejaculatory Duct Calculus to Treat Obstructive Azoospermia. J Endourol. 2001;15(9):949-50. PubMed PMID: 11769853.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic extraction of an ejaculatory duct calculus to treat obstructive azoospermia. AU - Gordon,Z, AU - Monga,M, PY - 2002/1/5/pubmed PY - 2002/6/4/medline PY - 2002/1/5/entrez SP - 949 EP - 50 JF - Journal of endourology JO - J Endourol VL - 15 IS - 9 N2 - Calculous obstruction of an ejaculatory duct is an uncommon cause of azoospermia or low-volume oligospermia in the infertile man. We report the case of a 32-year-old man with azoospermia, low ejaculate volume, and transrectal ultrosonography (TRUS) findings of bilateral seminal vesicle distention. On cystoscopy for planned transurethral resection of the ejaculatory ducts, a calculus obstructing the right ejaculatory duct at the verumontanum was discovered and removed. Three months later, semen analysis showed improvements in volume, sperm concentration, and sperm motility. An ejaculatory duct calculus should be included in the differential diagnosis of obstructive azoospermia or low-volume oligospermia. Magnetic resonance imaging or TRUS may be advisable to identify ductal calculi. SN - 0892-7790 UR - https://www.unboundmedicine.com/medline/citation/11769853/Endoscopic_extraction_of_an_ejaculatory_duct_calculus_to_treat_obstructive_azoospermia_ L2 - https://www.liebertpub.com/doi/10.1089/089277901753284206?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -