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Endoscopic extraction of an ejaculatory duct calculus to treat obstructive azoospermia.

作者信息

Gordon Z, Monga M

机构信息

Department of Urology, University of Minnesota Medical School, Minneapolis 55455, USA.

出版信息

J Endourol. 2001 Nov;15(9):949-50. doi: 10.1089/089277901753284206.

DOI:10.1089/089277901753284206
PMID:11769853
Abstract

Calculous obstruction of an ejaculatory duct is an uncommon cause of azoospermia or low-volume oligospermia in the infertile man. We report the case of a 32-year-old man with azoospermia, low ejaculate volume, and transrectal ultrosonography (TRUS) findings of bilateral seminal vesicle distention. On cystoscopy for planned transurethral resection of the ejaculatory ducts, a calculus obstructing the right ejaculatory duct at the verumontanum was discovered and removed. Three months later, semen analysis showed improvements in volume, sperm concentration, and sperm motility. An ejaculatory duct calculus should be included in the differential diagnosis of obstructive azoospermia or low-volume oligospermia. Magnetic resonance imaging or TRUS may be advisable to identify ductal calculi.

摘要

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