Vasoseminal vesiculography was performed on 40 asymptomatic men. Considerable variability in the appearance of the normal adult seminal tract was seen. The average lengths of the left and right ampullae were 4.23+/-0.77cm and 4.09+/-0.78cm respectively. Most ampullaes (75%) began at the vesicular fundus; the remainder projected either slightly more lateral (18%) or medial (7%) to the fundus. The average lengths of the left and right vesicle were 3.21+/-0.61cm and 3.24+/-0.49cm respectively ; the average widths were 1.36+/-0.30cm and 1.36+/-0.27cm. Eighty-seven per cent of subjects had symmetric-appearing vesicles. The average lengths or the left and right ejaculatory duct were 12.7+/-0.27mm and 13.0+/-0.59mm respectively; the average widths were 1.9+/-0.59mm and 1.8+/-0.58mm. Two normal configurations were noted; straight (70% ) and curved (30%). All ducts appeared symmetric. Criteria for normality are presented and the radiographic techniques were reviewed.
Adult ; Ejaculatory Ducts ; Humans ; Male

We present 7 cases of modified Badenoch pull-through operations. These were done on patients in whom it was considered technically too difficult to make a proper anastomosis because of severe scarring. Original Badenoch operation gives good voiding result but there are some complications. These include chordee, ball valve obstruction and interference with ejaculatory process by the intussuscepted urethra covering the prostatic and ejaculatory ducts. We modified the original description by to avoid some of these problems.
Cicatrix ; Ejaculatory Ducts ; Humans ; Male ; Urethra

Ejaculatory Ducts ; Hemospermia ; Humans ; Male ; Seminal Vesicles

Hemospermia is a common urologic problem that can be caused by diverse pathologic entities, including inflammatory and neoplastic disorders of the seminal tract. Transrectal ultrasonography provides excellent anatomic detail of pathologic changes in the seminal vesicle and ejaculatory duct. Morphological change of the seminal tract of patient with hemospermia was determined by means or transrectal sonography on 16 patients. The 14 patients (88%) had positive sonographic findings, Abnormalities detected included 5 cases of seminal vesicle stones, 2 cases of dilatated seminal vesicles, 3 cases of ejaculatory duct stones. 2 cases of ejaculatory duct cysts, 1 case of seminal vesicle stone and ejaculatory duct stone, 1 case of Mullerian duct cyst. Our result indicate that transrectal ultrasound is effective in studing in patient with organic hemospermia.
Ejaculatory Ducts ; Hemospermia* ; Humans ; Male ; Seminal Vesicles ; Ultrasonography*

A case history is presented of a seminal vesicular cyst which caused recurrent epididymitis in a young boy. Seminal vesicular cyst is an uncommon disorder and is usually asymptomatic. Endoscopic cannulation of the cyst has been found to be the most useful diagnostic test. At first, the patient was managed by dilation of the orifice of ejaculatory duct in order to facilitate drainage. However, he suffered from incontinence and sustained retrovesical cystic mass. We therefore excised the seminal vesicular cyst by transvesical approach.
Catheterization ; Diagnostic Tests, Routine ; Drainage ; Ejaculatory Ducts ; Epididymitis* ; Humans ; Male

Adenomatoid tumors are rare benign neoplasms thought to be of mesothelial origin. Although most reported cases developed from the epididymis, rare cases have been reported in the testicular tunica, spermatic cord and ejaculatory ducts. Because of the benign nature of this tumor, the treatment of choice is local excision. We report a rare case of adenomatoid tumor of the spermatic cord treated by local excision.
Adenomatoid Tumor ; Ejaculatory Ducts ; Epididymis ; Male ; Spermatic Cord

The prevalence or azoospermia .in the general population has been estimated to be 2 percent. Azoospermia is found in up to lO to 20 per cent of the men who present to an infertility clinic. The main causes are testicular failure and ductal obstruction. The ejaculatory duct obstruction was reported about 6 percent of the ductal obstruction. We present a case of a young adult azoospermic male patient with bilateral obstruction of the terminal ejaculatory duct who was treated successfully by transurethral incision using Collings cold knife in the area of the ejaculatory ducts.
Azoospermia ; Ejaculatory Ducts* ; Humans ; Infertility* ; Male ; Prevalence ; Young Adult

Chronic prostatitis is very common urologic disease, but its symptomatology is varied and nondiagnostic. We have performed transrectal ultrasonography in 66 cases of patients who were impressed as chronic prostatitis based upon their symptoms and physical findings for the purpose of evaluating the role of transrectal ultrasonography in the diagnosis of chronic prostatitis.The results were summarized as follows;1. In microscopic findings of prostatic secretion, 20 cases(Group I ) showed W.B.C. less than 10/H.P.F and 16 cases(Group II ) showed W.B.C. more than 10/H.P.F. 2. The abnormal findings of transrectal sonography in chronic prostatitis were as follows; 1) Echolucent zones; 22 cases(39%) 2) Calcification; 37 cases( 56%). 3) Heterogeneous echo; 40 cases( 61%). 4) Capsular irregularity or thickening; 35 cases( 50%) 5) Periurethral zone irregularity, 28 cases(42%). 6) Echolucent 'halo' sign; 33 cases( 50%). 7) Seminal vesicle or ejaculatory duct abnormality; 18 cases(27%). 3. Among above findings, l), 2), 3), 4), 5) findings were more frequently detected in Group II than in Group I (p<0.05). 4. The combined detection rate of l), 2), 3), 4), 5) findings were statistically higher in Group II than in Group I (p<0.05). 5. High grade l), 2), 3), 4), 5) findings were more frequently detected in Group II than in Group I (p<0.05). Our results suggest that although transrectal ultrasonography is not diagnostic for chronic prostatitis, it may be an useful adjuvant diagnostic modality to laboratory studies in the evaluation of chronic prostatitis.
Diagnosis ; Ejaculatory Ducts ; Humans ; Male ; Prostatitis* ; Seminal Vesicles ; Ultrasonography* ; Urologic Diseases

A cyst of seminal vesicle is rare condition, and only 12 cases have been reported in the literature. Complaint of no ejaculation with or without urinary symptoms in married man should arouse suspension of seminal vesicle cyst which results from atresia of ejaculatory duct due to long standing infection of urethra. The diagnosis was made by rectal examination, cystoscopic study, seminal vesiculogram and microscopic examination of the cystic fluid with contained many spermatozoa. We reported a case of cyst of seminal vesicle in a 33 year-old male and reviewed the literature.
Adult ; Diagnosis ; Ejaculation ; Ejaculatory Ducts ; Humans ; Male ; Seminal Vesicles* ; Spermatozoa ; Urethra

Adenomatoid tumor is the most common paratesticular tumor with an anatomic distribution limited to the epididymis and it rarely invades to the tunica vaginalis, spermatic cord and ejaculatory duct. Adenomatoid tumor is a benign neoplasm that is thought to be of a mesothelial origin. The treatment of choice for adenomatoid tumor is local excision because of its benign nature and the absence of distant metastasis. We report here on a rare case of adenomatoid tumor that was found between the epididymis and the testis, and it was treated by local excision of tumor.
Adenomatoid Tumor ; Ejaculatory Ducts ; Epididymis ; Male ; Neoplasm Metastasis ; Spermatic Cord ; Testis