Ejaculatory-duct calculus causing secondary obstruction and infertility.
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.
Philip
Joe
J
Department of Urology, Royal Liverpool University Hospital, Liverpool, United Kingdom. indianajoe@gmail.com <indianajoe@gmail.com>
Manikandan
Ramaswamy
R
Lamb
Gabriel H R
GH
Desmond
Anthony D
AD
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