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[Surgical therapy for azoospermia with ejaculatory duct obstruction].
Zhonghua Wai Ke Za Zhi. 2005 Nov 15; 43(22):1464-6.ZW

Abstract

OBJECTIVE

To investigate the effect of transurethral resection of ejaculatory ducts (TURED) for azoospermia with ejaculatory duct obstruction (EDO).

METHODS

From June 2003 to December 2004, 20 azoospermia with EDO were diagnosed, diagnostic criteria included a history, physical examination, semen analyses, semen fructose measurement, endocrine assessment, testicular biopsy and transrectal ultrasonography (TRUS); All 20 cases were treated by TURED. Fifteen of them were followed up more than 3 months after the treatment. The semen samples of them were analysed at 3-month intervals in post-therapy.

RESULTS

Semen analyses in all 20 cases showed the typical characteristics of EDO, low semen volume (0.4-1.6 ml), azoospermia, low pH, absent or low semen fructose. TRUS showed the main etiology factor of EDO was a midline cyst in 11, lateral cystic lesions in 2, the remaining 7 cases had dilated ejaculatory duct with or without dilated seminal vesicles. Among 15 cases followed up more than 3 months after TURED, 10/15 (67%) had an improvement in semen parameters and 3/15 (20%) had pregnancies. Semen analyses had not been done in anther 5 cases.

CONCLUSION

Transurethral resection of ejaculatory ducts may be a safe and effective method for the treatment of azoospermia with EDO.

Authors+Show Affiliations

Deng CH
Department of Urology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
Qiu SP
No affiliation info available
Sun XZ
No affiliation info available
Guo HB
No affiliation info available
Wu RP
No affiliation info available

MeSH

AdultAzoospermiaEjaculatory DuctsElectrosurgeryFollow-Up StudiesHumansMaleMiddle AgedOligospermiaUltrasonography

Pub Type(s)

Journal Article

Language

chi

PubMed ID

16318815

Citation

Deng, Chun-hua, et al. "[Surgical Therapy for Azoospermia With Ejaculatory Duct Obstruction]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 43, no. 22, 2005, pp. 1464-6.
Deng CH, Qiu SP, Sun XZ, et al. [Surgical therapy for azoospermia with ejaculatory duct obstruction]. Zhonghua Wai Ke Za Zhi. 2005;43(22):1464-6.
Deng, C. H., Qiu, S. P., Sun, X. Z., Guo, H. B., & Wu, R. P. (2005). [Surgical therapy for azoospermia with ejaculatory duct obstruction]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 43(22), 1464-6.
Deng CH, et al. [Surgical Therapy for Azoospermia With Ejaculatory Duct Obstruction]. Zhonghua Wai Ke Za Zhi. 2005 Nov 15;43(22):1464-6. PubMed PMID: 16318815.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical therapy for azoospermia with ejaculatory duct obstruction]. AU - Deng,Chun-hua, AU - Qiu,Shao-peng, AU - Sun,Xiang-zhou, AU - Guo,Hai-bin, AU - Wu,Rong-pei, PY - 2005/12/2/pubmed PY - 2007/1/24/medline PY - 2005/12/2/entrez SP - 1464 EP - 6 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 43 IS - 22 N2 - OBJECTIVE: To investigate the effect of transurethral resection of ejaculatory ducts (TURED) for azoospermia with ejaculatory duct obstruction (EDO). METHODS: From June 2003 to December 2004, 20 azoospermia with EDO were diagnosed, diagnostic criteria included a history, physical examination, semen analyses, semen fructose measurement, endocrine assessment, testicular biopsy and transrectal ultrasonography (TRUS); All 20 cases were treated by TURED. Fifteen of them were followed up more than 3 months after the treatment. The semen samples of them were analysed at 3-month intervals in post-therapy. RESULTS: Semen analyses in all 20 cases showed the typical characteristics of EDO, low semen volume (0.4-1.6 ml), azoospermia, low pH, absent or low semen fructose. TRUS showed the main etiology factor of EDO was a midline cyst in 11, lateral cystic lesions in 2, the remaining 7 cases had dilated ejaculatory duct with or without dilated seminal vesicles. Among 15 cases followed up more than 3 months after TURED, 10/15 (67%) had an improvement in semen parameters and 3/15 (20%) had pregnancies. Semen analyses had not been done in anther 5 cases. CONCLUSION: Transurethral resection of ejaculatory ducts may be a safe and effective method for the treatment of azoospermia with EDO. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/16318815/[Surgical_therapy_for_azoospermia_with_ejaculatory_duct_obstruction]_ DB - PRIME DP - Unbound Medicine ER -