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Endoscopic management of ejaculatory duct obstruction.
Int Urol Nephrol. 1998; 30(4):481-5.IU

Abstract

A total of 191 patients were evaluated at our department for azoospermia, and 11 were found to have azoospermia due to ejaculatory duct obstruction as proved by normal serum hormones, normal testicular biopsy, low ejaculate volume and absence of fructose in semen. Also transrectal ultrasound was performed, revealing distended seminal vesicles and dilated ejaculatory ducts. All these criteria together suggested ejaculatory duct obstruction as a cause of azoospermia. All patients underwent endoscopic management for treatment of their ejaculatory duct obstruction in the form of resection and/or incision of the ejaculatory duct ostium inside the urethra and patency was checked intraoperatively by injection of sterile methylene blue in the vas and visualizing the efflux of the blue dye endoscopically. Intraoperative patency was documented in 10 patients and postoperative patency by follow-up semen analysis in 7 patients (70% patency rate) of which 2 (20% pregnancy rate) were able to conceive within 2 years of endoscopic treatment. Postoperative complications included acute urinary retention in 1 patient, haematuria in 5 and recurrent epididymitis in 2 patients.

Authors+Show Affiliations

Aggour A
Department of Urology, Ain Shams University, Cairo, Egypt.
Mostafa H
No affiliation info available
Maged W
No affiliation info available

MeSH

Ejaculatory DuctsEndoscopyGenital Diseases, MaleHumansMaleOligospermiaSeminal VesiclesUltrasonography

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9821052

Citation

Aggour, A, et al. "Endoscopic Management of Ejaculatory Duct Obstruction." International Urology and Nephrology, vol. 30, no. 4, 1998, pp. 481-5.
Aggour A, Mostafa H, Maged W. Endoscopic management of ejaculatory duct obstruction. Int Urol Nephrol. 1998;30(4):481-5.
Aggour, A., Mostafa, H., & Maged, W. (1998). Endoscopic management of ejaculatory duct obstruction. International Urology and Nephrology, 30(4), 481-5.
Aggour A, Mostafa H, Maged W. Endoscopic Management of Ejaculatory Duct Obstruction. Int Urol Nephrol. 1998;30(4):481-5. PubMed PMID: 9821052.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic management of ejaculatory duct obstruction. AU - Aggour,A, AU - Mostafa,H, AU - Maged,W, PY - 1998/11/20/pubmed PY - 1998/11/20/medline PY - 1998/11/20/entrez SP - 481 EP - 5 JF - International urology and nephrology JO - Int Urol Nephrol VL - 30 IS - 4 N2 - A total of 191 patients were evaluated at our department for azoospermia, and 11 were found to have azoospermia due to ejaculatory duct obstruction as proved by normal serum hormones, normal testicular biopsy, low ejaculate volume and absence of fructose in semen. Also transrectal ultrasound was performed, revealing distended seminal vesicles and dilated ejaculatory ducts. All these criteria together suggested ejaculatory duct obstruction as a cause of azoospermia. All patients underwent endoscopic management for treatment of their ejaculatory duct obstruction in the form of resection and/or incision of the ejaculatory duct ostium inside the urethra and patency was checked intraoperatively by injection of sterile methylene blue in the vas and visualizing the efflux of the blue dye endoscopically. Intraoperative patency was documented in 10 patients and postoperative patency by follow-up semen analysis in 7 patients (70% patency rate) of which 2 (20% pregnancy rate) were able to conceive within 2 years of endoscopic treatment. Postoperative complications included acute urinary retention in 1 patient, haematuria in 5 and recurrent epididymitis in 2 patients. SN - 0301-1623 UR - https://www.unboundmedicine.com/medline/citation/9821052/Endoscopic_management_of_ejaculatory_duct_obstruction_ DB - PRIME DP - Unbound Medicine ER -