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Transurethral resection for ejaculatory duct stenosis and oligospermia
Fertility and Sterility
|March 1, 1984
Summary
Ejaculatory obstruction in oligospermia patients, often caused by catheterization or infection, can be treated. Transurethral resection yielded fertile sperm levels in one case, suggesting investigation is worthwhile.
Area of Science:
- Reproductive Medicine
- Urology
Background:
- Oligospermia, characterized by low sperm count, can stem from ejaculatory obstruction.
- Diagnosing and treating ejaculatory obstruction is crucial for male fertility.
Purpose of the Study:
- To investigate the efficacy of treating ejaculatory obstruction in patients with oligospermia.
- To evaluate transurethral resection of the posterior prostatic urethra as a treatment option.
Main Methods:
- Semen analysis and vasography were used to diagnose ejaculatory obstruction in four oligospermia patients.
- Transurethral resection of the posterior prostatic urethra was performed on one patient.
Main Results:
- Ejaculatory obstruction was attributed to urethral catheterization or infection in all cases.
- One patient achieved fertile sperm levels post-transurethral resection.
- Treatment success rates were noted as low but with minimal patient morbidity.
Conclusions:
- Transurethral resection offers a potential treatment for specific cases of ejaculatory obstruction.
- Despite low success rates, the procedure's low morbidity and potential for sperm retrieval for in vitro fertilization warrant further investigation.