SavedAdd your journal

Journals / Journal of Urological Surgery / 2019 / Cilt: 6 - Sayı: 2

Transurethral Resection of Ejaculatory Duct in Primary Infertile Men with Distal Ejaculatory Duct Obstruction

Distal Ejakülatuvar Kanal Tıkanıklığı Olan Primer İnfertil Erkeklerde Transüretral Ejakülatuvar Kanal Rezeksiyonu

Cevahir ÖZER
Mehmet Reşit GÖREN
Pages
135–138
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Transurethral resection may also decrease the need for assisted reproduction methods and allow in-vitro fertilization/intracytoplasmic sperm injection with ejaculated sperm in some azoospermic patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: We evaluated the outcome of transurethral resection for the treatment of distal ejaculatory duct obstruction with primary infertile men.Materials and Methods: We retrospectively evaluated 23 primary infertile men, who had distal ejaculatory duct obstruction, between June 2006and July 2018.
📊
Key Findings & Data:All patients were treated by transurethral resection of the ejaculatory duct.Results: The mean age of the patients was 31.82±5.01 years.
💡
Conclusion & Impact:Transurethral resection may also decrease the need for assisted reproduction methods and allow in-vitro fertilization/intracytoplasmic sperm injection with ejaculated sperm in some azoospermic patients.
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: We evaluated the outcome of transurethral resection for the treatment of distal ejaculatory duct obstruction with primary infertile men.Materials and Methods: We retrospectively evaluated 23 primary infertile men, who had distal ejaculatory duct obstruction, between June 2006and July 2018. All patients were treated by transurethral resection of the ejaculatory duct.Results: The mean age of the patients was 31.82±5.01 years. Preoperative and postoperative seminal parameters were compared. There was astatistically significant increase in ejaculate volume, sperm concentration, sperm motility and total motile sperm count.Conclusion: Transurethral resection of the ejaculatory duct improved sperm parameters in most of the primary infertile men with distalejaculatory duct obstruction. Transurethral resection may also decrease the need for assisted reproduction methods and allow in-vitro fertilization/intracytoplasmic sperm injection with ejaculated sperm in some azoospermic patients.

Özet

Amaç: Distal ejakülatuvar kanal tıkanıklığı olan primer enfertil erkeklerin tedavisinde transüretral rezeksiyonun sonucunu değerlendirdik. Gereç ve Yöntem: Haziran 2006 ile Temmuz 2018 arasında distal ejakülatör kanal tıkanıklığı tanısı alan 23 primer enfertil erkeği retrospektif olarak değerlendirdik. Tüm hastalar ejakülatör kanalın transüretral rezeksiyonu ile tedavi edildi. Bulgular: Hastaların yaş ortalaması 31,82±5,01 yıldı. Hastaların ameliyat öncesi ve sonrası seminal parametreleri karşılaştırıldı. Ejakülat hacminde sperm konsantrasyonunda, sperm hareketinde ve total motil sperm sayısında istatistiksel olarak anlamlı bir artış vardı. Sonuç: Ejakülatör kanalın transüretral rezeksiyonu distal ejakülatuvar kanal tıkanıklığı olan primer enfertil erkeklerin çoğunda sperm parametrelerinde iyileşme sağlar. Ayrıca, transüretral rezeksiyon yardımla üreme yöntemleri ihtiyacını azaltabilir ve başlangıçta azoospermik olan hastalarda ejakülat spermi kullanılarak in vitro fertilizasyon/intrasitoplazmik sperm injeksiyonu yapılmasına olanak sağlayabilir.

🔖

Cite This Article

ÖZER, C., GÖREN, M. R. (2022). Transurethral Resection of Ejaculatory Duct in Primary Infertile Men with Distal Ejaculatory Duct Obstruction. Journal of Urological Surgery, Cilt: 6 - Sayı: 2, 135–138. https://ajindex.com/articles/568711

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Pryor JP, Hendry WF. Ejaculatory duct obstruction in subfertile males: analysis of 87 patients. Fertil Steril 1991;56:725-730
  2. McQuaid JW, Tanrikut C. Ejaculatory duct obstruction: current diagnosis and treatment. Curr Urol Rep 2013;14:291-297
  3. Pace G, Galatioto GP, Guala L, Ranieri G, Vicentini C. Ejaculatory duct obstruction caused by a right giant seminal vesicle with an ipsilateral upper urinary tract agenesia: an embryologic malformation. Fertil Steril 2008;89:390-394
  4. Fisch H, Lambert SM, Goluboff ET. Management of ejaculatory duct obstruction: etiology, diagnosis, and treatment. World J Urol 2006;24:604- 610
  5. Fisch H, Kang YM, Johnson CW, Goluboff ET. Ejaculatory duct obstruction. Curr Opin Urol 2002;12:509-515
  6. Modgil V, Rai S, Ralph DJ, Muneer A. An update on the diagnosis and management of ejaculatory duct obstruction. Nat Rev Urol 2016;13:13-20
  7. Paick J, Kim SH, Kim SW. Ejaculatory duct obstruction in infertile men. BJU Int 2000;85:720-724
  8. Yurdakul T, Gokce G, Kilic O, Piskin MM. Transurethral resection of ejaculatory ducts in the treatment of complete ejaculatory duct obstruction. Int Urol Nephrol 2008;40:369-372
  9. Netto NR, Jr., Esteves SC, Neves PA. Transurethral resection of partially obstructed ejaculatory ducts: seminal parameters and pregnancy outcomes according to the etiology of obstruction. J Urol 1998;159:2048-2053
  10. El-Assmy A, El-Tholoth H, Abouelkheir RT, Abou-El-Ghar ME. Transurethral resection of ejaculatory duct in infertile men: outcome and predictors of success. Int Urol Nephrol 2012;44:1623-1630
  11. WHO W. WHO laboratory manual for the examination and processing of human semen. World Health Organization, Geneva 2010
  12. Farley S, Barnes R. Stenosis of ejaculatory ducts treated by endoscopic resection. J Urol 1973;109:664-666
  13. Smith JF, Walsh TJ, Turek PJ. Ejaculatory duct obstruction. Urol Clin North Am 2008;35:221-227, viii
  14. Ozgok Y, Tan MO, Kilciler M, Tahmaz L, Kibar Y. Diagnosis and treatment of ejaculatory duct obstruction in male infertility. Eur Urol 2001;39:24-29
  15. Kadioglu A, Cayan S, Tefekli A, Orhan I, Engin G, Turek PJ. Does response to treatment of ejaculatory duct obstruction in infertile men vary with pathology? Fertil Steril 2001;76:138-142
  16. Turek PJ, Magana JO, Lipshultz LI. Semen parameters before and after transurethral surgery for ejaculatory duct obstruction. J Urol 1996;155:1291-1293.