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Long-Term Success Durability of Transurethral Resection of Ejaculatory Duct in Treating Infertile Men with Ejaculatory Duct Obstruction.
J Endourol. 2022 07; 36(7):982-988.JE

Abstract

Objectives: The current study aimed to evaluate the long-term outcomes of TURED (transurethral resection of the ejaculatory duct) in treating male infertility due to ejaculatory duct obstruction (EDO) to the short-term follow-up. Methods: From 2000 to 2010, we retrospectively reviewed 30 men with infertility resulting from EDO who underwent TURED. Information on preoperative evaluation of patients was collected from the medical records. Standardized semen analysis was performed 6 weeks, 3 months, and 12 months postoperatively, as well as after a 7-year follow-up. Results: The average age of patients was 35.5 ± 2.6. All patients had low ejaculate volume and normal range of the mean serum hormone levels (gonadotropins and testosterone). Transrectal ultrasonography (TRUS) assessment revealed midline cysts in 46.7% (n = 14 cases), a seminal vesicle dilatation in 83.3% (25/30 cases), and ejaculatory duct dilatation in 76.7% (23/30 patients). In addition, two patients (6.6%) underwent MRI pelvis to confirm equivocal EDO by TRUS. After short-term and long-term follow-up, semen parameters improved significantly in 90% of cases vs 63.3% of cases, respectively, with statistically insignificant differences in all parameters (p ≥ 0.1). Based on subgroup analysis, semen parameters improved in all partial EDO and cystic EDO cases vs complete EDO and noncystic EDO, respectively. Spontaneous pregnancies were achieved in 10 (33.3%) vs 8 (26.6%) cases after short and long term, respectively. Regarding post-TURED complications, we reported 23.3% (n = 7). Conclusion: TURED is an effective treatment for EDO. It significantly improves all semen parameters and improves the symptoms related to EDO after short and long-term follow-up.

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Authors+Show Affiliations

Abdel-Al I
Urology Department, Faculty of Medicine, Al-Azhar University, Assiut Branch, Egypt.
Elatreisy A
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hassan GM
Urology Department, Faculty of Medicine, Al-Azhar University, Assiut Branch, Egypt.
Gharib TM
Urology Department, Faculty of Medicine, Benha University, Benha, Egypt.

MeSH

Ejaculatory DuctsFemaleHumansInfertility, MaleMalePregnancyRetrospective StudiesSeminal VesiclesUltrasonography

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35156853

Citation

Abdel-Al, Ibrahim, et al. "Long-Term Success Durability of Transurethral Resection of Ejaculatory Duct in Treating Infertile Men With Ejaculatory Duct Obstruction." Journal of Endourology, vol. 36, no. 7, 2022, pp. 982-988.
Abdel-Al I, Elatreisy A, Hassan GM, et al. Long-Term Success Durability of Transurethral Resection of Ejaculatory Duct in Treating Infertile Men with Ejaculatory Duct Obstruction. J Endourol. 2022;36(7):982-988.
Abdel-Al, I., Elatreisy, A., Hassan, G. M., & Gharib, T. M. (2022). Long-Term Success Durability of Transurethral Resection of Ejaculatory Duct in Treating Infertile Men with Ejaculatory Duct Obstruction. Journal of Endourology, 36(7), 982-988. https://doi.org/10.1089/end.2021.0840
Abdel-Al I, et al. Long-Term Success Durability of Transurethral Resection of Ejaculatory Duct in Treating Infertile Men With Ejaculatory Duct Obstruction. J Endourol. 2022;36(7):982-988. PubMed PMID: 35156853.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-Term Success Durability of Transurethral Resection of Ejaculatory Duct in Treating Infertile Men with Ejaculatory Duct Obstruction. AU - Abdel-Al,Ibrahim, AU - Elatreisy,Adel, AU - Hassan,Gamal M, AU - Gharib,Tarek Mohamed, Y1 - 2022/04/22/ PY - 2022/2/15/pubmed PY - 2022/7/14/medline PY - 2022/2/14/entrez KW - ejaculatory duct KW - infertility KW - long-term KW - obstruction SP - 982 EP - 988 JF - Journal of endourology JO - J Endourol VL - 36 IS - 7 N2 - Objectives: The current study aimed to evaluate the long-term outcomes of TURED (transurethral resection of the ejaculatory duct) in treating male infertility due to ejaculatory duct obstruction (EDO) to the short-term follow-up. Methods: From 2000 to 2010, we retrospectively reviewed 30 men with infertility resulting from EDO who underwent TURED. Information on preoperative evaluation of patients was collected from the medical records. Standardized semen analysis was performed 6 weeks, 3 months, and 12 months postoperatively, as well as after a 7-year follow-up. Results: The average age of patients was 35.5 ± 2.6. All patients had low ejaculate volume and normal range of the mean serum hormone levels (gonadotropins and testosterone). Transrectal ultrasonography (TRUS) assessment revealed midline cysts in 46.7% (n = 14 cases), a seminal vesicle dilatation in 83.3% (25/30 cases), and ejaculatory duct dilatation in 76.7% (23/30 patients). In addition, two patients (6.6%) underwent MRI pelvis to confirm equivocal EDO by TRUS. After short-term and long-term follow-up, semen parameters improved significantly in 90% of cases vs 63.3% of cases, respectively, with statistically insignificant differences in all parameters (p ≥ 0.1). Based on subgroup analysis, semen parameters improved in all partial EDO and cystic EDO cases vs complete EDO and noncystic EDO, respectively. Spontaneous pregnancies were achieved in 10 (33.3%) vs 8 (26.6%) cases after short and long term, respectively. Regarding post-TURED complications, we reported 23.3% (n = 7). Conclusion: TURED is an effective treatment for EDO. It significantly improves all semen parameters and improves the symptoms related to EDO after short and long-term follow-up. SN - 1557-900X UR - https://www.unboundmedicine.com/medline/citation/35156853/Long_Term_Success_Durability_of_Transurethral_Resection_of_Ejaculatory_Duct_in_Treating_Infertile_Men_with_Ejaculatory_Duct_Obstruction_ DB - PRIME DP - Unbound Medicine ER -