Department of Urology, Univeristy of Catania, Catania, Italy.
Fertil Steril. 2011 Jun;95(7):2430.e11-4. doi: 10.1016/j.fertnstert.2011.01.146. Epub 2011 Feb 21.
To report a case of transurethral endoscopic treatment of ejaculatory duct stones with transrectal ultrasound (TRUS)-guided perineal needle implant and ureteroscopic extraction of deferent duct stones in an infertile man.
Case report.
Department of Urology, University of Catania, Italy.
PATIENT(S): A 33-year-old man with azoospermia, low ejaculate volume, perineal discomfort, and unilateral seminal tract dilatation caused by obstructing lithiasis of the ejaculatory and deferent ducts.
INTERVENTION(S): Transurethral endoscopic treatment of ejaculatory duct stones with TRUS-guided perineal needle implant and ureteroscopic extraction of deferent duct stones.
MAIN OUTCOME MEASURE(S): Improvements in symptoms and seminal parameters.
RESULT(S): The patients had successful relief of symptoms and correction of obstructive azoospermia.
CONCLUSION(S): This new technique allows a more rapid and targeted identification of ejaculatory duct lithiasis, and the ureteroscope enables management of distal seminal stones through the normal anatomic tract.
报告一例经直肠超声（TRUS）引导会阴针植入和输尿管镜下提取输精管道结石治疗不育症患者射精管结石的病例。
病例报告。
意大利卡塔尼亚大学泌尿科。
一名 33 岁男子，因射精管和输精管道阻塞性结石导致无精子症、精液量低、会阴部不适和单侧精道扩张。
经尿道内镜治疗射精管结石，采用 TRUS 引导会阴针植入和输尿管镜下提取输精管道结石。
症状和精液参数的改善。
患者症状缓解，梗阻性无精子症得到纠正。
这种新技术可以更快速、更有针对性地识别射精管结石，而输尿管镜可以通过正常解剖途径处理远端精液结石。
