title: Ejaculatory-duct calculus causing secondary obstruction and infertility.
abstract: OBJECTIVE
  To report on a patient with ejaculatory-duct calculi that caused secondary obstruction and infertility.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Clinical.
  
  
  METHODS
  A 32-year-old man.
  
  
  METHODS
  Magnetic resonance imaging, vasography, transurethral resection of the veru, and a review of similar cases.
  
  
  RESULTS
  A 32-year-old man with ejaculatory-duct obstruction because of calculi that caused infertility is described. Diagnosis was via vasography and magnetic resonance imaging. Management of this condition involves transurethral veru resection.
  
  
  CONCLUSIONS
  Calculus causing ejaculatory-duct obstruction and leading to infertility is a rarely reported phenomenon. Transurethral resection of the veru and calculi extraction is the optimal management.
authors.affiliation: Department of Urology, Royal Liverpool University Hospital, Liverpool, United Kingdom. indianajoe@gmail.com <indianajoe@gmail.com>
authors.forename: Joe
authors.initials: J
authors.lastname: Philip
authors.forename: Ramaswamy
authors.initials: R
authors.lastname: Manikandan
authors.forename: Gabriel H R
authors.initials: GH
authors.lastname: Lamb
authors.forename: Anthony D
authors.initials: AD
authors.lastname: Desmond
mesh_terms: D000328:Adult; D053713:Azoospermia / Q000209:etiology; D004542:Ejaculation; D006801:Humans; D007248:Infertility, Male / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D052801:Male Urogenital Diseases / Q000175:diagnosis* / Q000601:surgery; D011469:Prostatic Diseases / Q000000981:diagnostic imaging; D012669:Seminal Vesicles / Q000473:pathology; D014463:Ultrasonography