Obstrucción de conductos eyaculadores / Ejaculatory duct obstruction
Cir. & cir
;
76(4): 349-353, jul.-ago. 2008. tab, ilus
Article
in Spanish
| LILACS
| ID: lil-568074
ABSTRACT
BACKGROUND:
Prostatic cysts are rare lesions with a reported incidence from 1 to 7.9%. They have been associated with primary infertility. The main characteristic is the benign course and positive prognosis after correct surgical management. CLINICAL CASES We present three clinical cases, two with primary infertility and another with a history of primary infertility who presented with recurrent hemospermia and refractory medical treatment. All patients had hypospermia and alteration of the seminal parameters represented by moderate oligospermia (MOS), asteno- and teratozoospermia, in addition to hemospermia in two patients. Diagnosis was confirmed by transrectal ultrasound. Transurethral resection (TUR) of the cyst was performed in two cases and resection of the veru montanum in one, obtaining improvement in the seminal parameters after 1 month of follow-up and acceptable parameters for spontaneous conception at 6 months.CONCLUSIONS:
Infertility associated with partially obstructed ejaculatory ducts may be suspected clinically by hypospermia. Transrectal ultrasound is essential to confirm the diagnosis. TUR of this lesion reestablishes the free passage of semen in almost all patients, with potential recovery of fertility 6 months after treatment.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Oligospermia
/
Prostatic Diseases
/
Cysts
/
Ejaculatory Ducts
/
Hemospermia
/
Infertility, Male
Type of study:
Prognostic study
Limits:
Female
/
Humans
/
Male
/
Pregnancy
Language:
Spanish
Journal:
Cir. & cir
Journal subject:
General Surgery
Year:
2008
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Mexicano del Seguro Social/MX
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