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Published on: September 11, 2014
Mullerian duct cyst: a curable entity of male infertility. Two case reports
Yoshitomo Kobori1, Ryo Sato1, Yoshio Ashizawa1
1Department of Urology Koshigaya Hospital, Dokkyo Medical University 2-1-50, Minamikoshigaya 343-8555 Koshigaya Japan.
Purpose:
Mullerian duct cyst is a rudiment of a Mullerian duct in the fetal period which causes ejaculatory duct obstruction and male infertility.
Case Report:
We report two patients with Mullerian duct cyst that presented with low ejaculate volume, oligoasthenoteratozoospermia and azoospermia syndrome. Transrectal ultrasound (TRUS) and magnetic resonance image (MRI) revealed a midline prostatic cystic structure. In each case, we performed a TRUS guided transperineal aspiration of the cyst. Seminograms of the patients improved and one of their wives got spontaneously pregnant 3 months after the surgery.
Conclusion:
We should assume the TRUS guided aspiration of Mullerian duct cyst.
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