Diagnosis and treatment of ejaculatory duct obstruction: Current status and advances.
- Author:
Zheng LI
1
;
Xiang-Ping LI
1
;
Hui-Xing CHEN
1
Author Information
1. Department of Andrology and Pelvic Floor Surgery, Urologic Medical Center, Center for Men's Health, Research Institute of Urology, Shanghai Key Lab of Reproductive Medicine, Shanghai Jiaotong University, Shanghai 200080, China.
- Publication Type:Journal Article
- Keywords:
flexible vesiculovasoscopy;
magnetic resonance imaging;
male infertility;
transrectal ultrasonography;
transurethral seminal vesiculoscopy;
ejaculatory duct obstruction
- MeSH:
Adult;
Ejaculatory Ducts;
diagnostic imaging;
surgery;
Genital Diseases, Male;
diagnostic imaging;
surgery;
Humans;
Infertility, Male;
etiology;
Magnetic Resonance Imaging;
Male;
Semen;
Ultrasonography;
Vas Deferens;
diagnostic imaging
- From:
National Journal of Andrology
2017;23(6):483-487
- CountryChina
- Language:Chinese
-
Abstract:
Ejaculatory duct obstruction (EDO) is one of the obstructive factors for 1－5% of all cases of male infertility and it is, however, surgically correctable. Congenital developmental abnormality is a most common cause of EDO. The clinical manifestations of EDO are varied, typically with the decline of four semen parameters. Transrectal ultrasonography is an important imaging method for the diagnosis of EDO and guidance in its surgery. MRI provides high-resolution images of the reproductive system as evidence. Transurethral resection of the ejaculatory duct (TURED) is a classical operation, the application of transurethral seminal vesiculoscopy has become a new trend of minimally invasive surgery in the treatment of EDO, and the latest flexible vesiculovasoscopy (FVV) or vasoscopy techniques may further improve the diagnosis and treatment of EDO.
