Tags

Type your tag names separated by a space and hit enter

Semen parameters before and after transurethral surgery for ejaculatory duct obstruction.
J Urol. 1996 Apr; 155(4):1291-3.JU

Abstract

PURPOSE

We examined how transurethral resection of the ejaculatory ducts, performed for infertility, affects semen quality in patients with azoospermia and oligo-asthenospermia.

MATERIALS AND METHODS

A retrospective review was done of 46 cases of transurethral resection of the ejaculatory ducts for ejaculatory duct obstruction, confirmed by transrectal ultrasound. Clinical course and semen quality were assessed by semen parameter indications.

RESULTS

In 65% of the patients transurethral resection of the ejaculatory ducts improved semen quality (greater than a 50% increase in total motile sperm count) and 20% initiated a pregnancy an average of 6.1 months postoperatively. Statistically significant increases in total motile sperm count were achieved in men with azoospermia and those treated for oligo-asthenospermic indications; the improvement also was shown to be sustainable. Complications occurred in 20% of the men.

CONCLUSIONS

Significant and durable semen quality improvement can be achieved after transurethral resection of the ejaculatory ducts for all surgical indications. In most unsuccessful cases the reason for failure is unclear.

Authors+Show Affiliations

Department of Urology, University of California School of Medicine, San Francisco, California 94143-0738, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8632556

Citation

Turek, P J., et al. "Semen Parameters Before and After Transurethral Surgery for Ejaculatory Duct Obstruction." The Journal of Urology, vol. 155, no. 4, 1996, pp. 1291-3.
Turek PJ, Magana JO, Lipshultz LI. Semen parameters before and after transurethral surgery for ejaculatory duct obstruction. J Urol. 1996;155(4):1291-3.
Turek, P. J., Magana, J. O., & Lipshultz, L. I. (1996). Semen parameters before and after transurethral surgery for ejaculatory duct obstruction. The Journal of Urology, 155(4), 1291-3.
Turek PJ, Magana JO, Lipshultz LI. Semen Parameters Before and After Transurethral Surgery for Ejaculatory Duct Obstruction. J Urol. 1996;155(4):1291-3. PubMed PMID: 8632556.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Semen parameters before and after transurethral surgery for ejaculatory duct obstruction. AU - Turek,P J, AU - Magana,J O, AU - Lipshultz,L I, PY - 1996/4/1/pubmed PY - 1996/4/1/medline PY - 1996/4/1/entrez SP - 1291 EP - 3 JF - The Journal of urology JO - J Urol VL - 155 IS - 4 N2 - PURPOSE: We examined how transurethral resection of the ejaculatory ducts, performed for infertility, affects semen quality in patients with azoospermia and oligo-asthenospermia. MATERIALS AND METHODS: A retrospective review was done of 46 cases of transurethral resection of the ejaculatory ducts for ejaculatory duct obstruction, confirmed by transrectal ultrasound. Clinical course and semen quality were assessed by semen parameter indications. RESULTS: In 65% of the patients transurethral resection of the ejaculatory ducts improved semen quality (greater than a 50% increase in total motile sperm count) and 20% initiated a pregnancy an average of 6.1 months postoperatively. Statistically significant increases in total motile sperm count were achieved in men with azoospermia and those treated for oligo-asthenospermic indications; the improvement also was shown to be sustainable. Complications occurred in 20% of the men. CONCLUSIONS: Significant and durable semen quality improvement can be achieved after transurethral resection of the ejaculatory ducts for all surgical indications. In most unsuccessful cases the reason for failure is unclear. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/8632556/Semen_parameters_before_and_after_transurethral_surgery_for_ejaculatory_duct_obstruction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(01)66246-3 DB - PRIME DP - Unbound Medicine ER -