Ectopic seminal tract opening in enlarged prostatic utricle: A report of 22 cases.
- Author:
Xin HU
1
;
Jian-Zhong LIN
1
;
Hong-Fei WU
1
;
Jiu-Ming LI
1
;
Wei-Li WU
1
;
Hong-Bo YU
1
Author Information
1. Department of Urology, Nanjing BenQ Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu 21009, China .
- Publication Type:Journal Article
- Keywords:
congenital malformation;
ectopic opening;
ejaculatory duct;
enlarged prostatic utricle;
vas deferens
- MeSH:
Ejaculatory Ducts/surgery*;
Humans;
Male;
Male Urogenital Diseases/surgery*;
Prostate/surgery*;
Retrospective Studies;
Semen Analysis;
Seminal Vesicles/surgery*;
Vas Deferens/surgery*
- From:
National Journal of Andrology
2020;26(10):911-916
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the diagnosis, classification and treatment of ectopic seminal tract opening in enlarged prostatic utricle (EPU).
METHODS:We retrospectively analyzed the clinical data on 22 cases of ectopic seminal tract opening in EPU confirmed by spermography, EPU open cannula angiography or intraoperative puncture of the vas deferens and treated by transurethral incision of EPU, cold-knife incision or electric incision of EPU, full drainage of the anteriorwal, and open or laparoscopic surgery from October 1985 to October 2017.
RESULTS:Five of the patients were diagnosed with ectopic opening of the vas deferens and the other 17 with ectopic opening of the ejaculatory duct in EPU. During the 3－48 months of postoperative follow-up, symptoms disappeared in all the cases, semen quality was improved in those with infertility, and 2 of the infertile patients achieved pregnancy via ICSI.
CONCLUSIONS:Ectopic seminal tract opening in EPU is rare clinically. Spermography is a reliable method for the diagnosis of the disease, and its treatment should be aimed at restoring the smooth flow of semen based on proper classification and typing of the disease.
