Gong Cheng and Bianjiang Liu contributed equally to this work.
The authors declare that they have no competing interests.
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.
To summary the procedure and experience of a novel surgical management for male infertility secondary to midline prostatic cyst (MPC).
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.
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.
Surgical management using transurethral resectoscopy and seminal vesiculoscopy is effective, minimally invasive, and safe for male infertility secondary to MPC.
Goldwasser BZ, Weinerth JL, Carson 3rd CC. Ejaculatory duct obstruction: the case for aggressive diagnosis and treatment. J Urol. 1985;134:964–6. PubMed
Yasumoto R, Kawano M, Tsujino T, Shindow K, Nishisaka N, Kishimoto T. Is a cystic lesion located at the midline of the prostatic a mullerian duct cyst? Analysis of aspirated fluid and histopathological study of the cyst wall. Eur Urol. 1997;31:187–9. PubMed
Zhou T, Chen CL, Chen K, Wang XD, Yang J. Transrectal ultrasound-guided puncture and anhydrous alcohol sclerotherapy for Mullerian duct cyst. Zhonghua Nan Ke Xue. 2012;18:511–3. PubMed
Colpi GM, Negri L, Mariani M, Balerna M. Semen anomalies due to voiding defects of the ampullo-vesicular tract. Infertility due to ampullo-vesicular voiding defects. Andrologia. 1990;22 Suppl 1:206–18. PubMed
- A novel surgical management for male infertility secondary to midline prostatic cyst
- BioMed Central
Neu im Fachgebiet Urologie
Meistgelesene Bücher in der Urologie
Mail Icon II