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Transrectal US-guided seminal vesiculography

T R Jones¹, R J Zagoria, J P Jarow

¹Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27157, USA.

|October 7, 1997

Summary

Transrectal ultrasound (US)-guided seminal vesiculography aids in diagnosing male infertility. This imaging technique visualizes the distal male reproductive tract, improving evaluation for ejaculatory duct obstruction.

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Area of Science:

Reproductive Medicine
Medical Imaging
Urology

Background:

Male-factor infertility affects a significant portion of couples seeking fertility treatment.
Standard vasography has limitations in fully evaluating the distal male reproductive tract.
Ejaculatory duct obstruction is a potential cause of male infertility that can be challenging to diagnose.

Purpose of the Study:

To evaluate the utility of transrectal ultrasound (US)-guided seminal vesiculography in diagnosing male-factor infertility.
To assess the effectiveness of this technique in visualizing the distal male reproductive tract.
To determine if seminal vesiculography offers advantages over standard vasography for suspected ejaculatory duct obstruction.

Main Methods:

Transrectal ultrasound (US)-guided seminal vesiculography was performed in 12 male patients.
The procedure involved needle puncture of the seminal vesicle for contrast material injection.
Radiography was coupled with US for imaging.

Main Results:

Seminal vesiculography successfully visualized the distal male reproductive tract, including the vas deferens, seminal vesicles, and ejaculatory ducts.
The technique provided detailed imaging of these structures.
The procedure was performed in patients with male-factor infertility.

Conclusions:

Transrectal US-guided seminal vesiculography is a valuable imaging technique for evaluating male-factor infertility.
This method improves the imaging of the distal male reproductive tract compared to standard vasography.
Seminal vesiculography is particularly beneficial for men with suspected ejaculatory duct obstruction.

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