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[Ejaculatory duct obstruction].
Cir Cir. 2008 Jul-Aug; 76(4):349-53.CC

Abstract

BACKGROUND

Prostatic cysts are rare lesions with a reported incidence from 1 to 7.9%. They have been associated with primary infertility. The main characteristic is the benign course and positive prognosis after correct surgical management.

CLINICAL CASES

We present three clinical cases, two with primary infertility and another with a history of primary infertility who presented with recurrent hemospermia and refractory medical treatment. All patients had hypospermia and alteration of the seminal parameters represented by moderate oligospermia (MOS), asteno- and teratozoospermia, in addition to hemospermia in two patients. Diagnosis was confirmed by transrectal ultrasound. Transurethral resection (TUR) of the cyst was performed in two cases and resection of the veru montanum in one, obtaining improvement in the seminal parameters after 1 month of follow-up and acceptable parameters for spontaneous conception at 6 months.

CONCLUSIONS

Infertility associated with partially obstructed ejaculatory ducts may be suspected clinically by hypospermia. Transrectal ultrasound is essential to confirm the diagnosis. TUR of this lesion reestablishes the free passage of semen in almost all patients, with potential recovery of fertility 6 months after treatment.

Authors+Show Affiliations

Meza-Vázquez HE
Servicio de Andrología, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D.F.
Martínez-Cornelio A
No affiliation info available
Espinoza-Guerrero X
No affiliation info available
Cárdenas-Rodríguez E
No affiliation info available
Maldonado-Alcaraz E
No affiliation info available
Serrano-Brambila E
No affiliation info available

MeSH

AdultCystsEjaculatory DuctsFemaleHeart Valve Prosthesis ImplantationHemospermiaHumansInfertility, MaleKidney TransplantationMaleMiddle AgedOligospermiaPostoperative ComplicationsPregnancyProstatic DiseasesTransurethral Resection of ProstateUltrasonographyUltrasound, High-Intensity Focused, TransrectalYoung Adult

Pub Type(s)

Case Reports
Journal Article

Language

spa

PubMed ID

18778548

Citation

Meza-Vázquez, Héctor Eduardo, et al. "[Ejaculatory Duct Obstruction]." Cirugia Y Cirujanos, vol. 76, no. 4, 2008, pp. 349-53.
Meza-Vázquez HE, Martínez-Cornelio A, Espinoza-Guerrero X, et al. [Ejaculatory duct obstruction]. Cir Cir. 2008;76(4):349-53.
Meza-Vázquez, H. E., Martínez-Cornelio, A., Espinoza-Guerrero, X., Cárdenas-Rodríguez, E., Maldonado-Alcaraz, E., & Serrano-Brambila, E. (2008). [Ejaculatory duct obstruction]. Cirugia Y Cirujanos, 76(4), 349-53.
Meza-Vázquez HE, et al. [Ejaculatory Duct Obstruction]. Cir Cir. 2008 Jul-Aug;76(4):349-53. PubMed PMID: 18778548.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Ejaculatory duct obstruction]. AU - Meza-Vázquez,Héctor Eduardo, AU - Martínez-Cornelio,Andrés, AU - Espinoza-Guerrero,Xavier, AU - Cárdenas-Rodríguez,Edgar, AU - Maldonado-Alcaraz,Efraín, AU - Serrano-Brambila,Eduardo, PY - 2008/9/10/pubmed PY - 2009/10/2/medline PY - 2008/9/10/entrez SP - 349 EP - 53 JF - Cirugia y cirujanos JO - Cir Cir VL - 76 IS - 4 N2 - BACKGROUND: Prostatic cysts are rare lesions with a reported incidence from 1 to 7.9%. They have been associated with primary infertility. The main characteristic is the benign course and positive prognosis after correct surgical management. CLINICAL CASES: We present three clinical cases, two with primary infertility and another with a history of primary infertility who presented with recurrent hemospermia and refractory medical treatment. All patients had hypospermia and alteration of the seminal parameters represented by moderate oligospermia (MOS), asteno- and teratozoospermia, in addition to hemospermia in two patients. Diagnosis was confirmed by transrectal ultrasound. Transurethral resection (TUR) of the cyst was performed in two cases and resection of the veru montanum in one, obtaining improvement in the seminal parameters after 1 month of follow-up and acceptable parameters for spontaneous conception at 6 months. CONCLUSIONS: Infertility associated with partially obstructed ejaculatory ducts may be suspected clinically by hypospermia. Transrectal ultrasound is essential to confirm the diagnosis. TUR of this lesion reestablishes the free passage of semen in almost all patients, with potential recovery of fertility 6 months after treatment. SN - 2444-054X UR - https://www.unboundmedicine.com/medline/citation/18778548/[Ejaculatory_duct_obstruction]_ L2 - https://medlineplus.gov/prostatediseases.html DB - PRIME DP - Unbound Medicine ER -