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Perineal-guided endoscopic extraction of ejaculatory duct stones to treat obstructive azoospermia.
Fertil Steril. 2011 Jun; 95(7):2430.e11-4.FS

Abstract

OBJECTIVE

To report a case of transurethral endoscopic treatment of ejaculatory duct stones with transrectal ultrasound (TRUS)-guided perineal needle implant and ureteroscopic extraction of deferent duct stones in an infertile man.

DESIGN

Case report.

SETTING

Department of Urology, University of Catania, Italy.

PATIENT(S)

A 33-year-old man with azoospermia, low ejaculate volume, perineal discomfort, and unilateral seminal tract dilatation caused by obstructing lithiasis of the ejaculatory and deferent ducts.

INTERVENTION(S)

Transurethral endoscopic treatment of ejaculatory duct stones with TRUS-guided perineal needle implant and ureteroscopic extraction of deferent duct stones.

MAIN OUTCOME MEASURE(S)

Improvements in symptoms and seminal parameters.

RESULT(S)

The patients had successful relief of symptoms and correction of obstructive azoospermia.

CONCLUSION(S)

This new technique allows a more rapid and targeted identification of ejaculatory duct lithiasis, and the ureteroscope enables management of distal seminal stones through the normal anatomic tract.

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Authors+Show Affiliations

Favilla V
Department of Urology, Univeristy of Catania, Catania, Italy. vincenzo.favilla@libero.it
Cimino S
No affiliation info available
Madonia M
No affiliation info available
Castelli T
No affiliation info available
Sortino G
No affiliation info available
Russo M
No affiliation info available
Morgia G
No affiliation info available

MeSH

AdultAzoospermiaCalculiEjaculatory DuctsGenital Diseases, MaleHumansLithiasisMagnetic Resonance ImagingMalePerineumSemen AnalysisTreatment OutcomeUltrasonography, InterventionalUreteroscopyUrologic Surgical Procedures, Male

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21333982

Citation

Favilla, Vincenzo, et al. "Perineal-guided Endoscopic Extraction of Ejaculatory Duct Stones to Treat Obstructive Azoospermia." Fertility and Sterility, vol. 95, no. 7, 2011, pp. 2430.e11-4.
Favilla V, Cimino S, Madonia M, et al. Perineal-guided endoscopic extraction of ejaculatory duct stones to treat obstructive azoospermia. Fertil Steril. 2011;95(7):2430.e11-4.
Favilla, V., Cimino, S., Madonia, M., Castelli, T., Sortino, G., Russo, M., & Morgia, G. (2011). Perineal-guided endoscopic extraction of ejaculatory duct stones to treat obstructive azoospermia. Fertility and Sterility, 95(7), e11-4. https://doi.org/10.1016/j.fertnstert.2011.01.146
Favilla V, et al. Perineal-guided Endoscopic Extraction of Ejaculatory Duct Stones to Treat Obstructive Azoospermia. Fertil Steril. 2011;95(7):2430.e11-4. PubMed PMID: 21333982.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perineal-guided endoscopic extraction of ejaculatory duct stones to treat obstructive azoospermia. AU - Favilla,Vincenzo, AU - Cimino,Sebastiano, AU - Madonia,Massimo, AU - Castelli,Tommaso, AU - Sortino,Giuseppe, AU - Russo,Marco, AU - Morgia,Giuseppe, Y1 - 2011/02/21/ PY - 2009/11/05/received PY - 2011/01/15/revised PY - 2011/01/19/accepted PY - 2011/2/22/entrez PY - 2011/2/22/pubmed PY - 2011/7/29/medline SP - 2430.e11 EP - 4 JF - Fertility and sterility JO - Fertil Steril VL - 95 IS - 7 N2 - OBJECTIVE: To report a case of transurethral endoscopic treatment of ejaculatory duct stones with transrectal ultrasound (TRUS)-guided perineal needle implant and ureteroscopic extraction of deferent duct stones in an infertile man. DESIGN: Case report. SETTING: Department of Urology, University of Catania, Italy. PATIENT(S): A 33-year-old man with azoospermia, low ejaculate volume, perineal discomfort, and unilateral seminal tract dilatation caused by obstructing lithiasis of the ejaculatory and deferent ducts. INTERVENTION(S): Transurethral endoscopic treatment of ejaculatory duct stones with TRUS-guided perineal needle implant and ureteroscopic extraction of deferent duct stones. MAIN OUTCOME MEASURE(S): Improvements in symptoms and seminal parameters. RESULT(S): The patients had successful relief of symptoms and correction of obstructive azoospermia. CONCLUSION(S): This new technique allows a more rapid and targeted identification of ejaculatory duct lithiasis, and the ureteroscope enables management of distal seminal stones through the normal anatomic tract. SN - 1556-5653 UR - https://www.unboundmedicine.com/medline/citation/21333982/Perineal_guided_endoscopic_extraction_of_ejaculatory_duct_stones_to_treat_obstructive_azoospermia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0015-0282(11)00180-4 DB - PRIME DP - Unbound Medicine ER -