The neodymium:YAG laser recanalization in a patient with azoospermia due to ejaculatory duct agenesis.
A 32-year-old man with azoospermia is presented. Transperineal echographically guided vesiculography of the vas deferens showed absence of the ejaculatory duct and presence of a cystic müllerian duct in which both enlarged seminal vesicles joined. Transurethrally, by means of a contact tip over the verumontanum a new channel was created by neodymium:YAG laser irradiation at 25 watts every 2 seconds. The patient had 32.10(6) spermatozoa per ml. with good quality on semen analysis 10 months later.
Gaboardi
F
F
Department of Urology, Fatebenefratelli Hospital, Milano, Italy.
Dotti
E
E
Zago
T
T
Bozzola
A
A
Galli
L
L
D000328:Adult; D000013:Congenital Abnormalities / Q000175:diagnosis; D004543:Ejaculatory Ducts / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D053685:Laser Therapy; D008297:Male; D009845:Oligospermia / Q000209:etiology* / Q000601:surgery