I-2: Ejaculatory Duct Obstruction
نویسنده
چکیده مقاله:
Ejaculatory duct obstruction (EDO) underlies 1-5% of male infertility, although the diagnosis of EDO can be complex, treatment is well established and can be very effective. Part of reason that this condition probably is underdiagnosed, is because of its rarity, subtle presentation and the concomitantly low index of suspicion held by physicians. The causes of EDO are divided into congenital and acquired disorders. Clinically, EDO classically presents as hematospermia, painful ejaculation, or infertility. In the past decade, transrectal ultrasound (TRUS) has replaced vasography as the main stay of diagnosis. Several adjunctive techniques now have been described for diagnosis of EDO, including seminal vesicle aspiration, seminal vesiculography, vesicle chromotubation. The time- tested treatment for EDO is resection of the ejaculatory ducts (TUR-ED), which is performed in an outpatient setting, and the technique combines cystourethroscopy with resection of the verumontanum in the midline. Complications from TUR-ED occur in 10-20% of the cases, and include watery ejaculate, hematuria, epididimitis, seminal vasculitis and low risk of incontinence or rectal perforation.
منابع مشابه
Ejaculatory duct obstruction.
PURPOSE OF REVIEW We surveyed the growing literature on ejaculatory duct obstruction and provide suggestions regarding its diagnosis and management. RECENT FINDINGS Ejaculatory duct obstruction is a rare cause of male infertility. With the advent of the high resolution transurethral ultrasound (TRUS) technology, there has been an increase in diagnosis of this disorder. As for the treatment, i...
متن کاملThe clinical curative effect of transurethral resection of the ejaculatory duct for iatrogenic ejaculatory duct obstruction after prostatic hyperthermia.
متن کامل
[Transurethral endoscopic treatment for chronic hematospermia caused by müllerian duct cyst and ejaculatory duct obstruction].
Between June 1997 and September 1999, we performed transurethral unroofing (TUUR) in three patients with hematospermia that recurred repeatedly for one year or more. Patient 1 (48 years old) and Patient 2 (59 years old) were diagnosed as having müllerian duct cysts that communicated with the left ejaculatory duct, and Patient 3 (36 years old) as an ejaculatory duct obstruction with the right ej...
متن کاملHybrid Method of Transurethral Resection of Ejaculatory Ducts Using Holmium:Yttriumaluminium Garnet Laser on Complete Ejaculatory Duct Obstruction
A 32-year old single man presented with azoospermia and low semen volume which was noted one and half a year ago. Transrectal ultrasonography and seminal vesiculography were performed to evaluate ejaculatory duct obstruction, and transurethral resection of the ejaculatory duct was performed using a hybrid technique of holmium:yttriumaluminium garnet laser with monopolar transurethral resection ...
متن کاملSimultaneous computed tomography and seminal vesiculography in a patient with ejaculatory duct obstruction.
A 32-year-old man presented with primary infertility. He had azoospermia with low volume ejaculate. Physical examination was normal. Transrectal ultrasonography (TRUS) revealed grossly dilated seminal vesicles. No other genitourinary tract abnormality was noted. He underwent TRUS-guided aspiration of the seminal vesicles with simultaneous instillation of contrast media and methylene blue dye in...
متن کاملA prospective comparison of 3 diagnostic methods to evaluate ejaculatory duct obstruction.
PURPOSE Various diagnostic tests are available to evaluate patients with ejaculatory duct obstruction (EDO). However, the most accurate diagnostic technique, defined as the one that best predicts a successful outcome after ejaculatory duct resection, is unclear. We prospectively performed transrectal ultrasound (TRUS) and 3 other tests in men with EDO and determined their relative value in this...
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عنوان ژورنال
دوره 6 شماره 2
صفحات -
تاریخ انتشار 2012-09-01
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