A 32-year old single man presented with azoospermia and low semen volume which was noted one and half a year ago. Transrectal ultrasonography and seminal vesiculography were performed to evaluate ejaculatory duct obstruction, and transurethral resection of the ejaculatory duct was performed using a hybrid technique of holmium:yttriumaluminium garnet laser with monopolar transurethral resection to overcome the narrow prostatic urethra. To our knowledge, this is the first report on the successful outcome of a hybrid technique applied for transurethral resection of the ejaculatory duct.
Adult ; Azoospermia/diagnosis/physiopathology/surgery ; Ejaculatory Ducts/abnormalities/*surgery/ultrasonography ; Holmium ; Humans ; Infertility, Male/physiopathology/*surgery ; Laser Therapy/*methods ; Male ; Treatment Outcome ; Urethra ; Yttrium

Male infertility due to obstructive azoospermia is a well-known entity. It is characterised by obstruction to the outflow of sperms either in the epididymis, vas, seminal vesicles or the ejaculatory ducts. We describe a rare case of obstructive azoospermia due to compression of the ejaculatory duct and seminal vesicle by a large lower ureteric stone in a 30-year-old man who had infertility for the past ten years. The patient's azoospermia resolved after removal of the stone.
Adult ; Azoospermia ; diagnosis ; etiology ; therapy ; Constriction, Pathologic ; diagnosis ; Ejaculatory Ducts ; physiopathology ; Humans ; Infertility, Male ; diagnosis ; etiology ; therapy ; Male ; Seminal Vesicles ; physiopathology ; Sperm Count ; Tomography, X-Ray Computed ; Ureteral Calculi ; complications ; diagnosis ; surgery