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Transurethral resection of ejaculatory ducts: a step-by-step guide.
Fertil Steril. 2017 06; 107(6):e20.FS

Abstract

OBJECTIVE

To demonstrate the key components for completing a successful transurethral resection of ejaculatory ducts (TURED) for completely obstructed ejaculatory ducts (EDs).

DESIGN

Video presentation.

SETTING

University Hospital.

PATIENT(S)

A 40-year-old man presenting with primary infertility and abnormal semen analysis (pH 6.4, volume of 0.7 cc, concentration 16 million/cc, and 7% motility) in whom a transrectal ultrasonography revealed dilated seminal vesicles measuring more than 1.5 cm and seminal vesicle aspiration detected no sperm in the aspirate.

INTERVENTION(S)

Transurethral resection of ejaculatory ducts.

MAIN OUTCOME MEASURE(S)

Intraoperative technique with commentary highlighting tips for a successful TURED.

RESULT(S)

This video provides a step-by-step guide for TURED, including transrectal ultrasonography-guided seminal vesicle puncture for instillation of methylene blue to allow more precise identification of EDs. Vesiculography was performed near the end of the procedure to assess for patency of EDs and confirm both sides had been opened. (Institutional review board approval was obtained for this presentation.) CONCLUSION(S): The key portions for performing a successful TURED includes seminal vesicle instillation of methylene blue for easier identification of EDs. Vesiculography is performed near the end of the procedure to ensure both EDs have been opened as well as to assess for passive drainage of the seminal vesicles through the newly open EDs.

Authors+Show Affiliations

Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.Department of Urology, University of Miami Miller School of Medicine, Miami, Florida. Electronic address: ranjithrama@gmail.com.

Pub Type(s)

Case Reports
Journal Article
Video-Audio Media

Language

eng

PubMed ID

28495178

Citation

Sávio, Luís Felipe, et al. "Transurethral Resection of Ejaculatory Ducts: a Step-by-step Guide." Fertility and Sterility, vol. 107, no. 6, 2017, pp. e20.
Sávio LF, Palmer J, Prakash NS, et al. Transurethral resection of ejaculatory ducts: a step-by-step guide. Fertil Steril. 2017;107(6):e20.
Sávio, L. F., Palmer, J., Prakash, N. S., Clavijo, R., Adamu, D., & Ramasamy, R. (2017). Transurethral resection of ejaculatory ducts: a step-by-step guide. Fertility and Sterility, 107(6), e20. https://doi.org/10.1016/j.fertnstert.2017.04.002
Sávio LF, et al. Transurethral Resection of Ejaculatory Ducts: a Step-by-step Guide. Fertil Steril. 2017;107(6):e20. PubMed PMID: 28495178.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transurethral resection of ejaculatory ducts: a step-by-step guide. AU - Sávio,Luís Felipe, AU - Palmer,Joseph, AU - Prakash,Nachiketh Soodana, AU - Clavijo,Raul, AU - Adamu,Desmond, AU - Ramasamy,Ranjith, Y1 - 2017/05/09/ PY - 2016/10/24/received PY - 2017/03/29/revised PY - 2017/04/04/accepted PY - 2017/5/13/pubmed PY - 2017/8/19/medline PY - 2017/5/13/entrez KW - Ejaculatory duct KW - infertility KW - seminal vesicle KW - ultrasound SP - e20 EP - e20 JF - Fertility and sterility JO - Fertil Steril VL - 107 IS - 6 N2 - OBJECTIVE: To demonstrate the key components for completing a successful transurethral resection of ejaculatory ducts (TURED) for completely obstructed ejaculatory ducts (EDs). DESIGN: Video presentation. SETTING: University Hospital. PATIENT(S): A 40-year-old man presenting with primary infertility and abnormal semen analysis (pH 6.4, volume of 0.7 cc, concentration 16 million/cc, and 7% motility) in whom a transrectal ultrasonography revealed dilated seminal vesicles measuring more than 1.5 cm and seminal vesicle aspiration detected no sperm in the aspirate. INTERVENTION(S): Transurethral resection of ejaculatory ducts. MAIN OUTCOME MEASURE(S): Intraoperative technique with commentary highlighting tips for a successful TURED. RESULT(S): This video provides a step-by-step guide for TURED, including transrectal ultrasonography-guided seminal vesicle puncture for instillation of methylene blue to allow more precise identification of EDs. Vesiculography was performed near the end of the procedure to assess for patency of EDs and confirm both sides had been opened. (Institutional review board approval was obtained for this presentation.) CONCLUSION(S): The key portions for performing a successful TURED includes seminal vesicle instillation of methylene blue for easier identification of EDs. Vesiculography is performed near the end of the procedure to ensure both EDs have been opened as well as to assess for passive drainage of the seminal vesicles through the newly open EDs. SN - 1556-5653 UR - https://www.unboundmedicine.com/medline/citation/28495178/Transurethral_resection_of_ejaculatory_ducts:_a_step_by_step_guide_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0015-0282(17)30306-0 DB - PRIME DP - Unbound Medicine ER -