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Updated: Sep 16, 2026

Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification
Published on: December 8, 2023
Ectopic ureter inserting into the ejaculatory duct: A case report
Iyad Mashhoor Hakeem1, Abdulrahman Yahya1, Abdullah Hussain Alghamdi1
1Department of Urology, King Fahd Military Medical Complex, Dhahran, Eastern Province, Saudi Arabia.
Abstract:
A 44-year-old man presented with bilateral flank pain, dysuria, and incomplete bladder emptying. Evaluation demonstrated a non-functioning atrophic left kidney, a markedly dilated tortuous ureter, and an ectopic ureter inserting into the left ejaculatory duct with an associated ejaculatory duct stone. Diagnosis was established using CT, MRI, DMSA scan, cystoscopy, and retrograde pyelography. Surgical findings confirmed the anomaly, and postoperative semen analysis showed hemato- and oligoasthenospermia. This rare congenital urological abnormality illustrates the importance of multimodal imaging and multidisciplinary management to achieve accurate diagnosis and guide appropriate treatment.
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