Tags

Type your tag names separated by a space and hit enter

Transurethral resection of partially obstructed ejaculatory ducts: seminal parameters and pregnancy outcomes according to the etiology of obstruction.
J Urol. 1998 Jun; 159(6):2048-53.JU

Abstract

PURPOSE

We determine how transurethral resection of the ejaculatory ducts performed for infertility affects seminal parameters and pregnancy outcomes in patients with partial ejaculatory duct obstruction due to a congenital or acquired etiological factor.

MATERIALS AND METHODS

Based on history and physical examination, hormonal profiles, semen analyses, transrectal ultrasonography and vasography findings partial ejaculatory duct obstruction was diagnosed in 14 men a mean of 30 years old who presented for infertility evaluation. Patients were grouped according to congenital or acquired cause of obstruction. Transurethral resection of the ejaculatory ducts was performed using the standard resectoscope loop technique. Clinical outcome was assessed by postoperative analyses of seminal parameters and pregnancy reports.

RESULTS

Transurethral resection of the ejaculatory ducts significantly improved semen quality (ejaculate volume and percentage of sperm motility) in all patients in the congenital group, while all but 1 (83%) had an improved sperm count. Pregnancy was achieved via sexual intercourse by 66% of the patients an average of 5.7 months postoperatively. Of the acquired etiological factor group 37.5% had improved semen quality after transurethral resection of ejaculatory duct and 12.5% achieved pregnancy via sexual intercourse. Postoperative complications occurred at a similar rate in each group (33%). However, complications in the congenital etiology group were minor, while 25% of the men in the acquired group had significant impairment of seminal parameters after transurethral resection of the ejaculatory ducts.

CONCLUSIONS

Semen quality improvement and pregnancy outcome after transurethral resection of the ejaculatory ducts for partial ejaculatory duct obstruction differ significantly according to the main etiological cause of obstruction. An equivocal diagnosis of partial obstruction and technical problems during transurethral resection of the ejaculatory ducts may contribute to failure. However, in some cases the reason for failure remains unclear.

Authors+Show Affiliations

Division of Urology, University of Campinas Medical Center, São Paulo, Brazil.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9598515

Citation

Netto, N R., et al. "Transurethral Resection of Partially Obstructed Ejaculatory Ducts: Seminal Parameters and Pregnancy Outcomes According to the Etiology of Obstruction." The Journal of Urology, vol. 159, no. 6, 1998, pp. 2048-53.
Netto NR, Esteves SC, Neves PA. Transurethral resection of partially obstructed ejaculatory ducts: seminal parameters and pregnancy outcomes according to the etiology of obstruction. J Urol. 1998;159(6):2048-53.
Netto, N. R., Esteves, S. C., & Neves, P. A. (1998). Transurethral resection of partially obstructed ejaculatory ducts: seminal parameters and pregnancy outcomes according to the etiology of obstruction. The Journal of Urology, 159(6), 2048-53.
Netto NR, Esteves SC, Neves PA. Transurethral Resection of Partially Obstructed Ejaculatory Ducts: Seminal Parameters and Pregnancy Outcomes According to the Etiology of Obstruction. J Urol. 1998;159(6):2048-53. PubMed PMID: 9598515.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transurethral resection of partially obstructed ejaculatory ducts: seminal parameters and pregnancy outcomes according to the etiology of obstruction. AU - Netto,N R,Jr AU - Esteves,S C, AU - Neves,P A, PY - 1998/5/23/pubmed PY - 2001/3/28/medline PY - 1998/5/23/entrez SP - 2048 EP - 53 JF - The Journal of urology JO - J Urol VL - 159 IS - 6 N2 - PURPOSE: We determine how transurethral resection of the ejaculatory ducts performed for infertility affects seminal parameters and pregnancy outcomes in patients with partial ejaculatory duct obstruction due to a congenital or acquired etiological factor. MATERIALS AND METHODS: Based on history and physical examination, hormonal profiles, semen analyses, transrectal ultrasonography and vasography findings partial ejaculatory duct obstruction was diagnosed in 14 men a mean of 30 years old who presented for infertility evaluation. Patients were grouped according to congenital or acquired cause of obstruction. Transurethral resection of the ejaculatory ducts was performed using the standard resectoscope loop technique. Clinical outcome was assessed by postoperative analyses of seminal parameters and pregnancy reports. RESULTS: Transurethral resection of the ejaculatory ducts significantly improved semen quality (ejaculate volume and percentage of sperm motility) in all patients in the congenital group, while all but 1 (83%) had an improved sperm count. Pregnancy was achieved via sexual intercourse by 66% of the patients an average of 5.7 months postoperatively. Of the acquired etiological factor group 37.5% had improved semen quality after transurethral resection of ejaculatory duct and 12.5% achieved pregnancy via sexual intercourse. Postoperative complications occurred at a similar rate in each group (33%). However, complications in the congenital etiology group were minor, while 25% of the men in the acquired group had significant impairment of seminal parameters after transurethral resection of the ejaculatory ducts. CONCLUSIONS: Semen quality improvement and pregnancy outcome after transurethral resection of the ejaculatory ducts for partial ejaculatory duct obstruction differ significantly according to the main etiological cause of obstruction. An equivocal diagnosis of partial obstruction and technical problems during transurethral resection of the ejaculatory ducts may contribute to failure. However, in some cases the reason for failure remains unclear. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/9598515/Transurethral_resection_of_partially_obstructed_ejaculatory_ducts:_seminal_parameters_and_pregnancy_outcomes_according_to_the_etiology_of_obstruction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(01)63243-9 DB - PRIME DP - Unbound Medicine ER -