A case of ejaculatory duct cyst with successful conception following transurethral resection of the verumontanum is reported. A 38-year-old male, childless after 3 years of marriage, was diagnosed with azoospermia following semen analysis. A testicular biopsy showed normal spermatogenesis. In vasoseminal vesiculography, obstruction and dilatation of the ejaculatory duct was identified. Retrograde urethrocystography showed no communication between the dilated ejaculatory duct and the urethra. Coronary section by MRI revealed that the obstruction and dilatation of the ejaculatory duct were due to an ejaculatory duct cyst. Transurethral resection of the verumontanum was performed. Left epididymitis appeared two months after surgery but this was cured by chemotherapy. From five months after surgery, semen analysis showed the presence of spermatozoa. Eleven months after transurethral resection of the verumontanum, conception was achieved. We review the literature while also discussing the differential diagnosis and treatment of cystic lesions around the ejaculatory duct.
|Number of pages||4|
|Journal||Nishinihon Journal of Urology|
|Publication status||Published - Jun 1 1998|
- Ejaculatory duct cyst
- Male infertility
- Transurethral resection of the verumontanum
ASJC Scopus subject areas