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Transrectal US-guided seminal vesicle aspiration in the diagnosis of partial ejaculatory duct obstruction.
Diagn Interv Radiol. 2012 Sep-Oct; 18(5):488-95.DI

Abstract

There has been recent interest in techniques for diagnosing ejaculatory duct obstruction (EDO), especially when the partial form of the disease is suspected clinically. Currently, there is no gold standard technique for diagnosing EDO. Transrectal ultrasonography (TRUS), which is the technique used most widely, can overdiagnose EDO. As adjunctive diagnostic techniques, duct chromotubation and seminal vesiculography cannot distinguish patients with partial obstruction from those without EDO. TRUS-guided seminal vesicle aspiration can be used in conjunction with TRUS to confirm the diagnosis pre-operatively, especially in patients with seminal vesicle dilation and a prostatic midline/ejaculatory duct cyst on TRUS. In patients with findings of chronic inflammation, such as ejaculatory duct calcifications and seminal vesicle atrophy/ hypoplasia on TRUS, proximal vasal obstruction or functional EDO should be excluded.

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Authors+Show Affiliations

Engin G
Department of Radiology, İstanbul University İstanbul School of Medicine, İstanbul, Turkey. gengin@istanbul.edu.tr

MeSH

AdultChronic DiseaseConstriction, PathologicEjaculatory DuctsHigh-Intensity Focused Ultrasound AblationHumansInfertility, MaleMaleProstatitisSeminal VesiclesSensitivity and SpecificitySuctionUltrasonography

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22618631

Citation

Engin, Gülgün. "Transrectal US-guided Seminal Vesicle Aspiration in the Diagnosis of Partial Ejaculatory Duct Obstruction." Diagnostic and Interventional Radiology (Ankara, Turkey), vol. 18, no. 5, 2012, pp. 488-95.
Engin G. Transrectal US-guided seminal vesicle aspiration in the diagnosis of partial ejaculatory duct obstruction. Diagn Interv Radiol. 2012;18(5):488-95.
Engin, G. (2012). Transrectal US-guided seminal vesicle aspiration in the diagnosis of partial ejaculatory duct obstruction. Diagnostic and Interventional Radiology (Ankara, Turkey), 18(5), 488-95. https://doi.org/10.4261/1305-3825.DIR.5528-11.1
Engin G. Transrectal US-guided Seminal Vesicle Aspiration in the Diagnosis of Partial Ejaculatory Duct Obstruction. Diagn Interv Radiol. 2012 Sep-Oct;18(5):488-95. PubMed PMID: 22618631.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transrectal US-guided seminal vesicle aspiration in the diagnosis of partial ejaculatory duct obstruction. A1 - Engin,Gülgün, Y1 - 2012/05/23/ PY - 2012/5/24/entrez PY - 2012/5/24/pubmed PY - 2013/11/20/medline SP - 488 EP - 95 JF - Diagnostic and interventional radiology (Ankara, Turkey) JO - Diagn Interv Radiol VL - 18 IS - 5 N2 - There has been recent interest in techniques for diagnosing ejaculatory duct obstruction (EDO), especially when the partial form of the disease is suspected clinically. Currently, there is no gold standard technique for diagnosing EDO. Transrectal ultrasonography (TRUS), which is the technique used most widely, can overdiagnose EDO. As adjunctive diagnostic techniques, duct chromotubation and seminal vesiculography cannot distinguish patients with partial obstruction from those without EDO. TRUS-guided seminal vesicle aspiration can be used in conjunction with TRUS to confirm the diagnosis pre-operatively, especially in patients with seminal vesicle dilation and a prostatic midline/ejaculatory duct cyst on TRUS. In patients with findings of chronic inflammation, such as ejaculatory duct calcifications and seminal vesicle atrophy/ hypoplasia on TRUS, proximal vasal obstruction or functional EDO should be excluded. SN - 1305-3612 UR - https://www.unboundmedicine.com/medline/citation/22618631/Transrectal_US_guided_seminal_vesicle_aspiration_in_the_diagnosis_of_partial_ejaculatory_duct_obstruction_ L2 - http://www.dirjournal.org/eng/makale/739/46/Full-Text DB - PRIME DP - Unbound Medicine ER -