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Urine contamination of seminal fluid after transurethral resection of the ejaculatory ducts.
J Urol. 1994 Dec; 152(6 Pt 1):2049-52.JU

Abstract

Transurethral resection of ejaculatory duct obstruction has assumed a significant role in the treatment of infertile men. The potential impact of disruption of the ejaculatory duct apparatus after transurethral resection has not been studied. The seminal plasma of patients was evaluated after transurethral resection of the ejaculatory ducts by determining creatinine levels as a measure of urine contamination of semen. Analysis of semen parameters was retrospectively performed on preoperative and postoperative samples in 8 subfertile men diagnosed with ejaculatory duct obstruction treated by transurethral resection. These were not 8 consecutive patients but rather individuals from a larger series who had seminal plasma frozen preoperatively and postoperatively. A significant increase in seminal plasma creatinine levels postoperatively was detected in 7 of 8 patients evaluated. In patients who were requested to produce 2 specimens within 1 hour high levels of creatinine were found in both ejaculates, although creatinine levels were lower in the second ejaculate. The patient who postoperatively had low levels of creatinine in seminal plasma demonstrated an improvement in sperm concentration and morphology, and his wife became pregnant. Transurethral resection of the ejaculatory ducts results in marked improvement in some semen parameters. However, the impact of urine contamination in semen after transurethral resection of the ejaculatory ducts must be assessed in the management of patients who present with ejaculatory duct obstruction.

Authors+Show Affiliations

Department of Urology, Beth Israel Medical Center, New York.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

7966669

Citation

Vazquez-Levin, M H., et al. "Urine Contamination of Seminal Fluid After Transurethral Resection of the Ejaculatory Ducts." The Journal of Urology, vol. 152, no. 6 Pt 1, 1994, pp. 2049-52.
Vazquez-Levin MH, Dressler KP, Nagler HM. Urine contamination of seminal fluid after transurethral resection of the ejaculatory ducts. J Urol. 1994;152(6 Pt 1):2049-52.
Vazquez-Levin, M. H., Dressler, K. P., & Nagler, H. M. (1994). Urine contamination of seminal fluid after transurethral resection of the ejaculatory ducts. The Journal of Urology, 152(6 Pt 1), 2049-52.
Vazquez-Levin MH, Dressler KP, Nagler HM. Urine Contamination of Seminal Fluid After Transurethral Resection of the Ejaculatory Ducts. J Urol. 1994;152(6 Pt 1):2049-52. PubMed PMID: 7966669.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Urine contamination of seminal fluid after transurethral resection of the ejaculatory ducts. AU - Vazquez-Levin,M H, AU - Dressler,K P, AU - Nagler,H M, PY - 1994/12/1/pubmed PY - 1994/12/1/medline PY - 1994/12/1/entrez SP - 2049 EP - 52 JF - The Journal of urology JO - J Urol VL - 152 IS - 6 Pt 1 N2 - Transurethral resection of ejaculatory duct obstruction has assumed a significant role in the treatment of infertile men. The potential impact of disruption of the ejaculatory duct apparatus after transurethral resection has not been studied. The seminal plasma of patients was evaluated after transurethral resection of the ejaculatory ducts by determining creatinine levels as a measure of urine contamination of semen. Analysis of semen parameters was retrospectively performed on preoperative and postoperative samples in 8 subfertile men diagnosed with ejaculatory duct obstruction treated by transurethral resection. These were not 8 consecutive patients but rather individuals from a larger series who had seminal plasma frozen preoperatively and postoperatively. A significant increase in seminal plasma creatinine levels postoperatively was detected in 7 of 8 patients evaluated. In patients who were requested to produce 2 specimens within 1 hour high levels of creatinine were found in both ejaculates, although creatinine levels were lower in the second ejaculate. The patient who postoperatively had low levels of creatinine in seminal plasma demonstrated an improvement in sperm concentration and morphology, and his wife became pregnant. Transurethral resection of the ejaculatory ducts results in marked improvement in some semen parameters. However, the impact of urine contamination in semen after transurethral resection of the ejaculatory ducts must be assessed in the management of patients who present with ejaculatory duct obstruction. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/7966669/Urine_contamination_of_seminal_fluid_after_transurethral_resection_of_the_ejaculatory_ducts_ L2 - https://www.jurology.com/doi/10.1016/s0022-5347(17)32303-0?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -