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Accessory Ducts of the Male Reproductive System

Accessory Ducts of the Male Reproductive System

The male reproductive system is a complex network of organs and tissues that work together to produce and transport sperm. The epididymis, vasa deferens, ejaculatory ducts, and urethra are the accessory ducts involved in sperm maturation and transportation. These ducts play a critical role in the production and transportation of sperm from the testes to the urethra, where it is then released during ejaculation.
The epididymis is a small, comma-shaped organ located at the back of each testicle....

Accessory Glands of the Male Reproductive System

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The accessory ducts involved in sperm maturation and transportation include the epididymides, vasa deferentia, ejaculatory ducts, and urethra. These ducts play a critical role in the maturation, storage, and transportation of sperm from the testes to the urethra, where it is then released during ejaculation.
The epididymis is a small, comma-shaped organ located at the back of each testicle. The epididymis can be divided into three main parts: the head, body, and tail. The head of the epididymis...

Infertility in Males

Infertility in Males

Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...

Urologic Endoscopic Procedure: Cystoscopic Examination

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Sperm Transport

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The journey of sperm from its origin to the point of ejaculation begins within the seminiferous tubules of the testis. Here, Sertoli cells produce fluid that propels non-motile sperm through a series of conduits, starting with the straight tubules leading to the rete testis. This interconnected network of tubules acts as the initial pathway for sperm, guiding them into the efferent ductules and then into the epididymis for maturation.
The maturation phase occurs in the epididymis, where sperm...

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Related Experiment Video

Updated: May 6, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia

Published on: May 27, 2022

[Retroprostatic cyst draining ejaculatory ducts with secondary obstructive azoospermia].

P Sarkis¹, G Nawfal, L Salloum

¹Service d'urologie, hôpital Saint-Joseph, Hôtel-Dieu de France, Beyrouth, Liban.

Gynecologie, Obstetrique & Fertilite

|November 5, 2013

Summary

Obstructive azoospermia can stem from congenital cysts. A case report details successful treatment of a retroprostatic duct cyst causing male infertility via transurethral resection, leading to spermogram normalization.

Keywords:

Azoospermia Azoospermie Ejaculatory duct obstruction Kyste rétroprostatique Retroprostatic cyst Sténose des canaux éjaculateurs

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Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia

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Area of Science:

Reproductive medicine
Urology
Medical imaging

Background:

Obstructive azoospermia affects 35-40% of infertile men.
Congenital cysts, like utricular or Mullerian duct cysts, can cause ejaculatory duct obstruction.
Differentiation from wolffian or urogenital cysts is crucial.

Observation:

A case of male infertility due to a retroprostatic duct cyst is presented.
Magnetic resonance imaging (MRI) revealed ejaculatory duct drainage into the cyst.
A thin canal ending blindly in the prostatic urethra was noted.

Findings:

Transurethral resection guided by MRI was performed.
The procedure resulted in urethral drainage of the cyst.
Ejaculatory duct obstruction was relieved, normalizing the spermogram.

Implications:

This case highlights retroprostatic duct cysts as a treatable cause of obstructive azoospermia.
MRI is valuable for diagnosing and planning surgical intervention.
Successful surgical management can restore fertility in affected men.