Successful conception following transurethral resection of the verumontanum to remove obstruction caused by an ejaculatory duct cyst: A case report

Michinoshin Akiyama, Atsushi Nagai, Masami Watanabe, Kazushi Manabe, Tomoyasu Tsushima, Hiromi Kumon, Hiroyuki Ohmori

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)477-480
Number of pages4
JournalNishinihon Journal of Urology
Volume60
Issue number6
Publication statusPublished - Jun 1998

Fingerprint

Ejaculatory Ducts
Cysts
Semen Analysis
Dilatation
Epididymitis
Azoospermia
Urethra
Spermatogenesis
Marriage
Spermatozoa
Differential Diagnosis
Communication
Biopsy
Drug Therapy

Keywords

  • Ejaculatory duct cyst
  • Male infertility
  • Transurethral resection of the verumontanum

ASJC Scopus subject areas

  • Urology

Cite this

Successful conception following transurethral resection of the verumontanum to remove obstruction caused by an ejaculatory duct cyst : A case report. / Akiyama, Michinoshin; Nagai, Atsushi; Watanabe, Masami; Manabe, Kazushi; Tsushima, Tomoyasu; Kumon, Hiromi; Ohmori, Hiroyuki.

In: Nishinihon Journal of Urology, Vol. 60, No. 6, 06.1998, p. 477-480.

Research output: Contribution to journalArticle

Akiyama, Michinoshin ; Nagai, Atsushi ; Watanabe, Masami ; Manabe, Kazushi ; Tsushima, Tomoyasu ; Kumon, Hiromi ; Ohmori, Hiroyuki. / Successful conception following transurethral resection of the verumontanum to remove obstruction caused by an ejaculatory duct cyst : A case report. In: Nishinihon Journal of Urology. 1998 ; Vol. 60, No. 6. pp. 477-480.
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