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Ejaculatory duct obstruction.
Curr Opin Urol. 2002 Nov; 12(6):509-15.CO

Abstract

PURPOSE OF REVIEW

We surveyed the growing literature on ejaculatory duct obstruction and provide suggestions regarding its diagnosis and management.

RECENT FINDINGS

Ejaculatory duct obstruction is a rare cause of male infertility. With the advent of the high resolution transurethral ultrasound (TRUS) technology, there has been an increase in diagnosis of this disorder. As for the treatment, it appears that central cystic lesions and partial obstructions respond best to transurethral resection of the ejaculatory ducts (TURED).

SUMMARY

Ejaculatory duct obstruction is a rare but surgically correctable cause of male infertility. Although there are no pathognomonic findings associated with ejaculatory duct obstruction, the diagnosis should be suspected in an infertile male with oligospermia or azoospermia with low ejaculate volume, normal secondary sex characteristics, testes, and hormonal profile, and dilated seminal vesicles, midline cyst, or calcifications on TRUS. In select cases, TURED has resulted in marked improvement in semen parameters, and pregnancies have been achieved. More studies are needed in the areas of diagnosis and long-term surgical outcome.

Authors+Show Affiliations

Fisch H
Department of Urology, Squier Urologic Clinic, Columbia College of Physicians and Surgeons, New York 10028, USA. harryfisch@aol.com
Kang YM
No affiliation info available
Johnson CW
No affiliation info available
Goluboff ET
No affiliation info available

MeSH

Constriction, PathologicEjaculatory DuctsGenital Diseases, MaleHumansInfertility, MaleMaleUltrasonographyUrologic Surgical Procedures, Male

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12409882

Citation

Fisch, Harry, et al. "Ejaculatory Duct Obstruction." Current Opinion in Urology, vol. 12, no. 6, 2002, pp. 509-15.
Fisch H, Kang YM, Johnson CW, et al. Ejaculatory duct obstruction. Curr Opin Urol. 2002;12(6):509-15.
Fisch, H., Kang, Y. M., Johnson, C. W., & Goluboff, E. T. (2002). Ejaculatory duct obstruction. Current Opinion in Urology, 12(6), 509-15.
Fisch H, et al. Ejaculatory Duct Obstruction. Curr Opin Urol. 2002;12(6):509-15. PubMed PMID: 12409882.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ejaculatory duct obstruction. AU - Fisch,Harry, AU - Kang,Young M, AU - Johnson,Christopher W, AU - Goluboff,Erik T, PY - 2002/11/1/pubmed PY - 2003/3/19/medline PY - 2002/11/1/entrez SP - 509 EP - 15 JF - Current opinion in urology JO - Curr Opin Urol VL - 12 IS - 6 N2 - PURPOSE OF REVIEW: We surveyed the growing literature on ejaculatory duct obstruction and provide suggestions regarding its diagnosis and management. RECENT FINDINGS: Ejaculatory duct obstruction is a rare cause of male infertility. With the advent of the high resolution transurethral ultrasound (TRUS) technology, there has been an increase in diagnosis of this disorder. As for the treatment, it appears that central cystic lesions and partial obstructions respond best to transurethral resection of the ejaculatory ducts (TURED). SUMMARY: Ejaculatory duct obstruction is a rare but surgically correctable cause of male infertility. Although there are no pathognomonic findings associated with ejaculatory duct obstruction, the diagnosis should be suspected in an infertile male with oligospermia or azoospermia with low ejaculate volume, normal secondary sex characteristics, testes, and hormonal profile, and dilated seminal vesicles, midline cyst, or calcifications on TRUS. In select cases, TURED has resulted in marked improvement in semen parameters, and pregnancies have been achieved. More studies are needed in the areas of diagnosis and long-term surgical outcome. SN - 0963-0643 UR - https://www.unboundmedicine.com/medline/citation/12409882/Ejaculatory_duct_obstruction_ DB - PRIME DP - Unbound Medicine ER -