Obstructive azoospermia constitutes 35 to 40% of azoospermia.
Etiologies may be acquired or rarely congenital. Congenital utricular or Mullerian duct cyst may result in compression of ejaculatory ducts. However, they must be differentiated from exceptional wolffian or urogenital cysts, which are located at the same site but in which ejaculatory ducts may drain inside. We report a case of retroprostatic duct cyst diagnosed during work up of male infertility where magnetic resonance imaging (MRI) showed the drainage of both ejaculatory ducts inside and the presence of a thin canal ended blindly in the wall of prostatic urethra. Transurethral resection guided by MRI has been performed resulting in urethral drainage of the cyst, relieving of obstruction and normalization of spermogramm.
Written by:
Sarkis P, Nawfal G, Salloum L, Kamel G, Zanati M, Saad E, Karam R, Chemaly A. Are you the author?
Service d'urologie, hôpital Saint-Joseph, Hôtel-Dieu de France, Beyrouth, Liban.
Reference: Gynecol Obstet Fertil. 2013 Oct 31. pii: S1297-9589(13)00235-X.
doi: 10.1016/j.gyobfe.2013.08.009
PubMed Abstract
PMID: 24183517
Article in French.
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