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[Efficacy of transurethral resection of ejaculatory duct for treatment of ejaculatory duct obstruction: report of 60 cases].
Beijing Da Xue Xue Bao Yi Xue Ban. 2011 Aug 18; 43(4):559-61.BD

Abstract

OBJECTIVE

To evaluate the effect of transurethral resection of ejaculatory duct (TURED) for treatment of ejaculatory duct obstruction (EDO).

METHODS

The clinical data of 60 cases of EDO from Oct. 2004 to Oct. 2010 were analyzed. The diagnostic criteria included semen analyses, fructose in seminal plasma, transrectal ultrasonography (TRUS), and vasography if necessary. All the patients were treated by TURED. Post-operative semen assay, postoperative patency rate and postoperative impregnation rate were followed.

RESULTS

Semen analyses in the majority of cases showed the typical characteristics of EDO, azoospermia, low semen volume (average 1.10 ± 0.76 mL), low pH (average 6.5 ± 1.4), absent or low semen fructose (average 5.86 ± 2.19 μmol/one ejaculation). TRUS showed pure dilation of both ejaculatory ducts in 15 cases, prostatic cyst in 6, pure dilated seminal vesicles on both sides in 10, unilateral dilated seminal vesicle in 4, dilation of both ejaculatory duct and seminal vesicles in 10, dilated seminal vesicles with prostatic cyst in 5, unilateral dilated seminal vesicle and contralateral aplasia of seminal vesicle in 2, dilated seminal vesicles with dilation and calcifications of both ejaculatory ducts in 3. The remaining 5 had unilateral dilated ejaculatory duct and seminal vesicle with contralateral aplasia of seminal vesicle. In all the cases followed up more than 6 to 78 months after TURED, 51 patients (85.0%) had improved semen parameters and 16 patients' wives (26.7%) had pregnancies.

CONCLUSION

TURED may be the simple, minimally invasive and effective method for the treatment of EDO.

Authors+Show Affiliations

Department of Urology, Huangpu Hospital of the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510700, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

chi

PubMed ID

21844966

Citation

Tu, Xian-an, et al. "[Efficacy of Transurethral Resection of Ejaculatory Duct for Treatment of Ejaculatory Duct Obstruction: Report of 60 Cases]." Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences, vol. 43, no. 4, 2011, pp. 559-61.
Tu XA, Zhao LY, Zhao L, et al. [Efficacy of transurethral resection of ejaculatory duct for treatment of ejaculatory duct obstruction: report of 60 cases]. Beijing Da Xue Xue Bao Yi Xue Ban. 2011;43(4):559-61.
Tu, X. A., Zhao, L. Y., Zhao, L., Wang, W. W., Deng, L. W., Chen, Y., & Deng, C. H. (2011). [Efficacy of transurethral resection of ejaculatory duct for treatment of ejaculatory duct obstruction: report of 60 cases]. Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences, 43(4), 559-61.
Tu XA, et al. [Efficacy of Transurethral Resection of Ejaculatory Duct for Treatment of Ejaculatory Duct Obstruction: Report of 60 Cases]. Beijing Da Xue Xue Bao Yi Xue Ban. 2011 Aug 18;43(4):559-61. PubMed PMID: 21844966.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Efficacy of transurethral resection of ejaculatory duct for treatment of ejaculatory duct obstruction: report of 60 cases]. AU - Tu,Xian-an, AU - Zhao,Liang-yun, AU - Zhao,Liang, AU - Wang,Wen-wei, AU - Deng,Li-wen, AU - Chen,Yu, AU - Deng,Chun-hua, PY - 2011/8/17/entrez PY - 2011/8/17/pubmed PY - 2012/5/25/medline SP - 559 EP - 61 JF - Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences JO - Beijing Da Xue Xue Bao Yi Xue Ban VL - 43 IS - 4 N2 - OBJECTIVE: To evaluate the effect of transurethral resection of ejaculatory duct (TURED) for treatment of ejaculatory duct obstruction (EDO). METHODS: The clinical data of 60 cases of EDO from Oct. 2004 to Oct. 2010 were analyzed. The diagnostic criteria included semen analyses, fructose in seminal plasma, transrectal ultrasonography (TRUS), and vasography if necessary. All the patients were treated by TURED. Post-operative semen assay, postoperative patency rate and postoperative impregnation rate were followed. RESULTS: Semen analyses in the majority of cases showed the typical characteristics of EDO, azoospermia, low semen volume (average 1.10 ± 0.76 mL), low pH (average 6.5 ± 1.4), absent or low semen fructose (average 5.86 ± 2.19 μmol/one ejaculation). TRUS showed pure dilation of both ejaculatory ducts in 15 cases, prostatic cyst in 6, pure dilated seminal vesicles on both sides in 10, unilateral dilated seminal vesicle in 4, dilation of both ejaculatory duct and seminal vesicles in 10, dilated seminal vesicles with prostatic cyst in 5, unilateral dilated seminal vesicle and contralateral aplasia of seminal vesicle in 2, dilated seminal vesicles with dilation and calcifications of both ejaculatory ducts in 3. The remaining 5 had unilateral dilated ejaculatory duct and seminal vesicle with contralateral aplasia of seminal vesicle. In all the cases followed up more than 6 to 78 months after TURED, 51 patients (85.0%) had improved semen parameters and 16 patients' wives (26.7%) had pregnancies. CONCLUSION: TURED may be the simple, minimally invasive and effective method for the treatment of EDO. SN - 1671-167X UR - https://www.unboundmedicine.com/medline/citation/21844966/[Efficacy_of_transurethral_resection_of_ejaculatory_duct_for_treatment_of_ejaculatory_duct_obstruction:_report_of_60_cases]_ L2 - http://xuebao.bjmu.edu.cn/EN/Y2011/V43/I4/559 DB - PRIME DP - Unbound Medicine ER -