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TRANSURETHRAL RESECTION OF PARTIALLY OBSTRUCTED EJACULATORY DUCTS: SEMINAL PARAMETERS AND PREGNANCY OUTCOMES ACCORDING TO THE ETIOLOGY OF OBSTRUCTION

1998; Lippincott Williams & Wilkins; Volume: 159; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(01)63243-9

1527-3792

Nelson Rodrígues Netto, Sandro C. Esteves, Paulo Augusto Ribeiro Neves,

Pediatric Urology and Nephrology Studies

No AccessJournal of UrologyClinical Urology: Original Articles1 Jun 1998TRANSURETHRAL RESECTION OF PARTIALLY OBSTRUCTED EJACULATORY DUCTS: SEMINAL PARAMETERS AND PREGNANCY OUTCOMES ACCORDING TO THE ETIOLOGY OF OBSTRUCTION NELSON RODRIGUES NETTO, SANDRO C. ESTEVES, and PAULO A. NEVES NELSON RODRIGUES NETTONELSON RODRIGUES NETTO , SANDRO C. ESTEVESSANDRO C. ESTEVES , and PAULO A. NEVESPAULO A. NEVES View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63243-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determine how transurethral resection of the ejaculatory ducts performed for infertility affects seminal parameters and pregnancy outcomes in patients with partial ejaculatory duct obstruction due to a congenital or acquired etiological factor. Materials and Methods: Based on history and physical examination, hormonal profiles, semen analyses, transrectal ultrasonography and vasography findings partial ejaculatory duct obstruction was diagnosed in 14 men a mean of 30 years old who presented for infertility evaluation. Patients were grouped according to congenital or acquired cause of obstruction. Transurethral resection of the ejaculatory ducts was performed using the standard resectoscope loop technique. Clinical outcome was assessed by postoperative analyses of seminal parameters and pregnancy reports. Results: Transurethral resection of the ejaculatory ducts significantly improved semen quality (ejaculate volume and percentage of sperm motility) in all patients in the congenital group, while all but 1 (83%) had an improved sperm count. Pregnancy was achieved via sexual intercourse by 66% of the patients an average of 5.7 months postoperatively. Of the acquired etiological factor group 37.5% had improved semen quality after transurethral resection of ejaculatory duct and 12.5% achieved pregnancy via sexual intercourse. Postoperative complications occurred at a similar rate in each group (33%). However, complications in the congenital etiology group were minor, while 25% of the men in the acquired group had significant impairment of seminal parameters after transurethral resection of the ejaculatory ducts. Conclusions: Semen quality improvement and pregnancy outcome after transurethral resection of the ejaculatory ducts for partial ejaculatory duct obstruction differ significantly according to the main etiological cause of obstruction. An equivocal diagnosis of partial obstruction and technical problems during transurethral resection of the ejaculatory ducts may contribute to failure. However, in some cases the reason for failure remains unclear. References 1 : Evaluation of the azoospermic patient. J. Urol.1989; 142: 62. 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Cornel E, Dohle G and Meuleman E (1999) Transurethral deroofing of midline prostatic cyst for subfertile menHuman Reproduction, 10.1093/humrep/14.9.2297, VOL. 14, NO. 9, (2297-2300), Online publication date: 1-Sep-1999., Online publication date: 1-Sep-1999. Volume 159 Issue 6 June 1998 Page: 2048-2053 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.Metrics Author Information NELSON RODRIGUES NETTO More articles by this author SANDRO C. ESTEVES More articles by this author PAULO A. NEVES More articles by this author Expand All Advertisement PDF downloadLoading ...