Purpose: To evaluate the effect of transurethral resection of
ejaculatory duct (TURED) for treatment of ejaculatory duct
Materials and Methods: The clinical information of 60 cases of
EDO were analyzed from Oct 2004 to Oct 2010. The diagnostic
criteria included semen analyses, fructose in seminal plasma,
transrectal ultrasonography (TRUS), and vasography necessarily.
All patients were treated by TURED. Postoperative semen assay, postoperative patency rate and postoperative impregnation rate
Results: Semen analyses in the majority of cases showed the typical
characteristics of EDO, azoospermia, low semen volume (average
1.10 mL), low PH (average 6.5), absent or low semen fructose
(average 5.86 μmol/ one ejaculation). TRUS showed pure dilation
of both ejaculatory duct in 15 cases, prostatic cyst in 6, pure dilated
seminal vesicles on both sides in 10, unilateral dilated seminal
vesicle in 4, dilation of both ejaculatory duct and seminal vesicles
in 10, dilated seminal vesicles with prostatic cyst in 5, unilateral
dilated seminal vesicle and contralateral aplasia of seminal vesicle
in 2, dilated seminal vesicles with dilation and calcifications of
both ejaculatory duct in 3, the remaining 5 had unilateral dilated
ejaculatory duct and seminal vesicle with contralateral aplasia of
seminal vesicle. Among all cases followed up more than 6-78 months
after TURED, 51 patients (85.0%) had improved semen parameters
and 16 patient's wife (26.7%) pregnancies.
Conclusions: TURED may be the simple, minimally invasive
and effective method for the treatment of EDO.