Transurethral resection of ejaculatory ducts in the treatment of complete ejaculatory duct obstruction

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dc.contributor.authorYurdakul, Talat
dc.contributor.authorGokce, Gurhan
dc.contributor.authorKilic, Ozcan
dc.contributor.authorPiskin, M. M.
dc.date.accessioned2020-03-26T17:28:19Z
dc.date.available2020-03-26T17:28:19Z
dc.date.issued2008
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives To evaluate the value of transurethral resection of the ejaculatory duct (TURED) in the treatment of complete ejaculatory duct obstruction (EDO) as a treatable cause of male factor infertility. Materials and methods We retrospectively evaluated 12 azoospermic infertile men who were diagnosed as having complete EDO. The mean age of the patients was 32 years (range 24-40). Inclusion criteria were EDO in patients with azoospermia, normal serum levels of gonadotropins and testosterone and evidence of obstruction on transrectal ultrasonographic (TRUS) images. The definitive diagnosis was based on the absence of an efflux of methylene blue injected through the seminal vesicles during cystoscopy. All patients were treated by TURED. Results Before TURED, all patients were azoospermic and had been considered as candidates for in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI). Following the operation, sperms were seen in the ejaculates of 11/12 patients. After a mean follow-up period of 12 (range 4-36) months, five (41.6%) pregnancies were noted (three spontaneous, one with intrauterine insemination and one with IVF/ICSI). Conclusion Transurethral resection was found to be a safe and somewhat effective approach for the treatment of EDO. After TURED, a significant improvement was achieved in semen parameters, and spontaneous pregnancy resulted in three cases. In addition, TURED can reduce the need for expensive procedures such as IVF/ICSI as this modality allows IVF/ICSI to be performed with ejaculated instead of surgically retrieved sperm.en_US
dc.identifier.doi10.1007/s11255-007-9273-zen_US
dc.identifier.endpage372en_US
dc.identifier.issn0301-1623en_US
dc.identifier.issn1573-2584en_US
dc.identifier.issue2en_US
dc.identifier.pmid17899434en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage369en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s11255-007-9273-z
dc.identifier.urihttps://hdl.handle.net/20.500.12395/22758
dc.identifier.volume40en_US
dc.identifier.wosWOS:000256194700021en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofINTERNATIONAL UROLOGY AND NEPHROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectazoospermiaen_US
dc.subjectejaculatory duct obstructionen_US
dc.subjectfertilityen_US
dc.subjectmale infertilityen_US
dc.subjecttransurethral resectionen_US
dc.titleTransurethral resection of ejaculatory ducts in the treatment of complete ejaculatory duct obstructionen_US
dc.typeArticleen_US

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