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01.12.2015 | Technical advance | Ausgabe 1/2015 Open Access

BMC Urology 1/2015

A novel surgical management for male infertility secondary to midline prostatic cyst

Zeitschrift:
BMC Urology > Ausgabe 1/2015
Autoren:
Gong Cheng, Bianjiang Liu, Zhen Song, Aiming Xu, Ninghong Song, Zengjun Wang
Wichtige Hinweise
Gong Cheng and Bianjiang Liu contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

All authors participated in the study conception, design and coordination. CG, LB, and SZ performed the surgery and wrote the paper. XA and SN performed the data analysis. WZ designed the study. All authors read and approved the final manuscript.

Abstract

Background

To summary the procedure and experience of a novel surgical management for male infertility secondary to midline prostatic cyst (MPC).

Methods

From February 2012 to February 2014, 12 patients were diagnosed with PMC by semen analysis, seminal plasma biochemical analysis, transrectal ultrasonography (TRUS), and pelvic magnetic resonance imaging (MRI). All patients underwent the transurethral unroofing of MPC using resectoscope, the dilation of ejaculatory duct, and the irrigation of seminal vesicle using seminal vesiculoscope. All patients were followed up at least 3 months after operation.

Results

Preoperative semen analyses of 12 patients showed oligoasthenozoospermia (5/12) or azoospermia (7/12), low semen volume (0–1.9 mL), and low pH level (5.5-7.0). Preoperative seminal plasma biochemical analyses showed reduced semen fructose. TURS and MRI revealed a cyst lesion located in the midline of prostatic. After 3 months follow up, the semen quality of 80% patients (4/5) with oligoasthenozoospermia improved obviously. The spermatozoa were present in the semen in 5 of 7 cases with azoospermia. In one patient, the spermatozoa occurred in the urine after ejaculation.

Conclusions

Surgical management using transurethral resectoscopy and seminal vesiculoscopy is effective, minimally invasive, and safe for male infertility secondary to MPC.
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