Perineal-guided endoscopic extraction of ejaculatory duct stones to treat obstructive azoospermia.Fertil Steril. 2011 Jun; 95(7):2430.e11-4.FS
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.
Department of Urology, University of Catania, Italy.
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.
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.
The patients had successful relief of symptoms and correction of obstructive azoospermia.
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.