Efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopy
ObjectiveTo evaluate the safety and efficacy of transvesical incision in the treatment of ejaculatory duct obstruction.MethodsThe clinical data of 26 male infertile patients with ejaculatory duct obstruction were retrospectively analysed at the First Affiliated Hospital of Zhengzhou University from...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1031739/full |
| _version_ | 1798022816141934592 |
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| author | Kun-Long Lv Wen-Gong Sun Tian-Biao Zhang Tao Zheng Yong-Hao Nan Yong-Fei Liu Yi-Fan Zhou Rui Wang |
| author_facet | Kun-Long Lv Wen-Gong Sun Tian-Biao Zhang Tao Zheng Yong-Hao Nan Yong-Fei Liu Yi-Fan Zhou Rui Wang |
| author_sort | Kun-Long Lv |
| collection | DOAJ |
| description | ObjectiveTo evaluate the safety and efficacy of transvesical incision in the treatment of ejaculatory duct obstruction.MethodsThe clinical data of 26 male infertile patients with ejaculatory duct obstruction were retrospectively analysed at the First Affiliated Hospital of Zhengzhou University from June 2020 to August 2021. All patients were treated with seminal vesicle neck incision for ejaculatory duct obstruction. The general clinical characteristics, intraoperative conditions and postoperative effects on the patients were recorded, and the therapeutic effect was evaluated.ResultsThe ejaculatory duct was found through fenestration, and the seminal vesicle gland was smoothly entered in 25 patients (96.2%). Among them, 22 cases underwent bilateral endoscopy and three underwent unilateral endoscopy. Sperm appeared in 23 cases (88.5%) 3 months after surgery. The sperm concentration and motility postoperatively at 6 months were higher than that at 3 months postoperatively. No postoperative complications, such as epididymitis or retrograde ejaculation, occurred.ConclusionSearching for the ejaculatory duct via the neck of the prostatic utricle, assisted by a low-energy holmium laser, is a new method for the treatment of ejaculatory duct obstruction. Microscopic vision is clear using this approach and the postoperative complications are few, which has high value for clinical application. |
| first_indexed | 2024-04-11T17:36:10Z |
| format | Article |
| id | doaj.art-e9e7809aae204e1995996c9fede08f17 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T17:36:10Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-e9e7809aae204e1995996c9fede08f172022-12-22T04:11:37ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-11-01910.3389/fsurg.2022.10317391031739Efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopyKun-Long Lv0Wen-Gong Sun1Tian-Biao Zhang2Tao Zheng3Yong-Hao Nan4Yong-Fei Liu5Yi-Fan Zhou6Rui Wang7Department of Andrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Urology, PLA 988 Hospital, Zhengzhou, ChinaDepartment of Andrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Andrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Andrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Andrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Andrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Andrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaObjectiveTo evaluate the safety and efficacy of transvesical incision in the treatment of ejaculatory duct obstruction.MethodsThe clinical data of 26 male infertile patients with ejaculatory duct obstruction were retrospectively analysed at the First Affiliated Hospital of Zhengzhou University from June 2020 to August 2021. All patients were treated with seminal vesicle neck incision for ejaculatory duct obstruction. The general clinical characteristics, intraoperative conditions and postoperative effects on the patients were recorded, and the therapeutic effect was evaluated.ResultsThe ejaculatory duct was found through fenestration, and the seminal vesicle gland was smoothly entered in 25 patients (96.2%). Among them, 22 cases underwent bilateral endoscopy and three underwent unilateral endoscopy. Sperm appeared in 23 cases (88.5%) 3 months after surgery. The sperm concentration and motility postoperatively at 6 months were higher than that at 3 months postoperatively. No postoperative complications, such as epididymitis or retrograde ejaculation, occurred.ConclusionSearching for the ejaculatory duct via the neck of the prostatic utricle, assisted by a low-energy holmium laser, is a new method for the treatment of ejaculatory duct obstruction. Microscopic vision is clear using this approach and the postoperative complications are few, which has high value for clinical application.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1031739/fulltransurethral seminal vesiculoscopyseminal vesicleejaculatory ductmale infertilitysperm |
| spellingShingle | Kun-Long Lv Wen-Gong Sun Tian-Biao Zhang Tao Zheng Yong-Hao Nan Yong-Fei Liu Yi-Fan Zhou Rui Wang Efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopy Frontiers in Surgery transurethral seminal vesiculoscopy seminal vesicle ejaculatory duct male infertility sperm |
| title | Efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopy |
| title_full | Efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopy |
| title_fullStr | Efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopy |
| title_full_unstemmed | Efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopy |
| title_short | Efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopy |
| title_sort | efficacy analysis of 26 cases of ejaculatory duct obstruction treated by prostatic utricle neck endoscopy |
| topic | transurethral seminal vesiculoscopy seminal vesicle ejaculatory duct male infertility sperm |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1031739/full |
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