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Transurethral resection of cystic and non-cystic ejaculatory duct obstructions.
Int J Androl. 1998 Aug; 21(4):196-200.IJ

Abstract

Ejaculatory duct obstructions are diagnosed in approximately 5% of azoospermic men and can be treated by transurethral resection (TURED) or incision of the ducts. Eight patients with azoospermia and ejaculatory duct obstructions were treated by TURED after clinical examination, semen analysis, biochemical analysis of seminal plasma, endocrine analysis, transrectal ultrasonography and testicular biopsy. In 3/3 cases of cystic and in 3/5 cases of non-cystic obstruction. TURED of the stenosis was possible. During a follow-up of 12 months there was an increase in semen volume and sperm count in 3/3 and 3/5 patients, respectively. No pregnancy was achieved during the period up to 12 months. Clinical symptoms such as haemospermia and pain disappeared in all cases. In our cases and another 98 cases of ejaculatory duct obstructions documented in the literature, men of semen quality improved in 38-60% with a pregnancy rate of men 22-31% after TURED. We conclude that there is a correlation between the aetiology of ejaculatory duct obstructions and success rate of TURED.

Authors+Show Affiliations

Department of Urology, University of Freiburg, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9749349

Citation

Popken, G, et al. "Transurethral Resection of Cystic and Non-cystic Ejaculatory Duct Obstructions." International Journal of Andrology, vol. 21, no. 4, 1998, pp. 196-200.
Popken G, Wetterauer U, Schultze-Seemann W, et al. Transurethral resection of cystic and non-cystic ejaculatory duct obstructions. Int J Androl. 1998;21(4):196-200.
Popken, G., Wetterauer, U., Schultze-Seemann, W., Deckart, A., & Sommerkamp, H. (1998). Transurethral resection of cystic and non-cystic ejaculatory duct obstructions. International Journal of Andrology, 21(4), 196-200.
Popken G, et al. Transurethral Resection of Cystic and Non-cystic Ejaculatory Duct Obstructions. Int J Androl. 1998;21(4):196-200. PubMed PMID: 9749349.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transurethral resection of cystic and non-cystic ejaculatory duct obstructions. AU - Popken,G, AU - Wetterauer,U, AU - Schultze-Seemann,W, AU - Deckart,A, AU - Sommerkamp,H, PY - 1998/9/28/pubmed PY - 1998/9/28/medline PY - 1998/9/28/entrez SP - 196 EP - 200 JF - International journal of andrology JO - Int J Androl VL - 21 IS - 4 N2 - Ejaculatory duct obstructions are diagnosed in approximately 5% of azoospermic men and can be treated by transurethral resection (TURED) or incision of the ducts. Eight patients with azoospermia and ejaculatory duct obstructions were treated by TURED after clinical examination, semen analysis, biochemical analysis of seminal plasma, endocrine analysis, transrectal ultrasonography and testicular biopsy. In 3/3 cases of cystic and in 3/5 cases of non-cystic obstruction. TURED of the stenosis was possible. During a follow-up of 12 months there was an increase in semen volume and sperm count in 3/3 and 3/5 patients, respectively. No pregnancy was achieved during the period up to 12 months. Clinical symptoms such as haemospermia and pain disappeared in all cases. In our cases and another 98 cases of ejaculatory duct obstructions documented in the literature, men of semen quality improved in 38-60% with a pregnancy rate of men 22-31% after TURED. We conclude that there is a correlation between the aetiology of ejaculatory duct obstructions and success rate of TURED. SN - 0105-6263 UR - https://www.unboundmedicine.com/medline/citation/9749349/Transurethral_resection_of_cystic_and_non_cystic_ejaculatory_duct_obstructions_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0105-6263&date=1998&volume=21&issue=4&spage=196 DB - PRIME DP - Unbound Medicine ER -