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Perineal-guided endoscopic extraction of ejaculatory duct stones to treat obstructive azoospermia

Favilla, Vincenzo and Cimino, Sebastiano and Madonia, Massimo and Castelli, Tommaso and Sortino, Giuseppe and Russo, Marco and Morgia, Giuseppe (2011) Perineal-guided endoscopic extraction of ejaculatory duct stones to treat obstructive azoospermia. Fertility and Sterility, Vol. 95 (7), 2430.e11-2430.e14. eISSN 1556-5653. Article.

Full text not available from this repository.

DOI: 10.1016/j.fertnstert.2011.01.146

Abstract

Objective
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.
Design
Case report.
Setting
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.

Item Type:Article
ID Code:5736
Status:Published
Refereed:Yes
Uncontrolled Keywords:Ejaculatory duct obstruction, infertility, treatment
Subjects:Area 06 - Scienze mediche > MED/24 Urologia
Divisions:001 Università di Sassari > 03 Istituti > Oftalmologia, Otorinolaringoiatria e Urologia
Publisher:Elsevier Science
eISSN:1556-5653
Copyright Holders:© 2011 American Society for Reproductive Medicine
Deposited On:26 May 2011 13:16

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