Male infertility may occur due to obstructive and non-obstructive reasons, some pathologies be corrected with surgical medical treatment. Such treatment increase the possibility of spontaneous pregnancy, success assisted reproductive technology, also testicular sperm retrieval rate. This review will focus on alternatives in infertile males. Although options for varicocele men include open surgi...

OBJECTIVES To report our experience with transurethral resection of the ejaculatory ducts (TURED) in infertile men with symptomatic ejaculatory duct obstruction (EDO). PATIENTS AND METHODS Before surgery, all patients complained of a decrease in the volume of their ejaculate, 14 of 15 had a non-projectile ejaculation, nine had a genitourinary infection necessitating antibiotic treatment, and ...

In severe oligozoospermia or azoospermia, low ejaculate volume, low ejaculate pH and little or no fructose in seminal plasma suggest an obstruction of the seminal pathways at the level of the prostate gland, when vasal aplasia and ejaculatory disorders are excluded. We report on our standardized surgical approach in 16 consecutive patients with this condition after clinical evaluation, semen an...

Developmental anomalies of the urogenital tract are rare but often encountered. Zinner's syndrome is a rare congenital abnormality of mesonephric (Wolffian) duct consisting of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction due to developmental arrest in early embryogenesis affecting the caudal end of Mullerian duct and only approximatel...

not visualized on initial contrast injection, but was observed on later injection. The ejaculatory ducts were balloon dilated using a 5 French angioplasty balloon, and both ducts were cannulated and explored visually using a flexible ureteroscope, revealing markedly dilated SVs. Contrast injection demonstrated bilaterally enlarged SVs and no apparent vasal obstruction. A right vasotomy was perf...

purpose: to evaluate the nature of obstruction in difficult irrigation after probing for congenital nasolacrimal duct obstruction (cnldo). methods: in a prospective interventional study, the nature of obstruction in 75 eyes of 68 children aged between 12 and 23 months with cnldo who had difficult irrigation after probing was evaluated. all patients underwent monocanalicular silicone intubation....

purpose:  to determine the safety and efficacy of mitomycin-c injection into the lacrimal duct for treatment of partial nasolacrimal duct obstruction in adults. method: this is a before-after clinical trial performed on 20 patients with partial primary acquired nasolacrimal duct obstruction. we injected 1.5 ml of mitomycin-c 0.2 mg/ml into the lacrimal duct and repeated it with concentration of...

The aim of this study was to evaluate the outcomes of multiple advanced surgical treatments (i.e. microsurgery, laparoscopic surgery and endoscopic surgery) for acquired obstructive azoospermia. We analyzed the surgical outcomes of 51 patients with suspected acquired obstructive azoospermia consecutively who enrolled at our center between January 2009 and May 2013. Modified vasoepididymostomy, ...