title: [Transurethral electrotomy combined with seminal vesiculoscopy ejaculatory duct dilatation in treating patients with Müllerian duct cyst].
abstract: OBJECTIVE
  To evaluate the feasibility and efficacy of transurethral electrotomy combined with seminal vesiculoscopy ejaculatory duct dilatation in treating patients with Müllerian duct cyst.
  
  
  METHODS
  We retrospectively analyzed 12 infertile men due to Müllerian duct cyst between 2009 and 2012. They were diagnosed by semen analysis (including quantity of semen, pH and fructose), digital rectal examination, transrectal ultrasonography, magnetic resonance images and aspiration biopsy when necessary. All patients were treated by transurethral electrotomy combined with seminal vesiculoscopy ejaculatory duct dilatation and were followed up for 12 months.
  
  
  RESULTS
  A significant improvement of semen quality was achieved after surgery and the sperms could be seen. The patients' semen was analyzed for 3 times in 12 months and the results were normal. Semen volume and pure berries of the patients were increased after the operation compared with those before the operation (P<0.05). Spontaneous pregnancies were achieved in 3 patients 9-12 months after surgery. Four patients' seminal vesicle became smaller obviously.
  
  
  CONCLUSIONS
  Transurethral electrotomy combined with seminal vesiculoscopy ejaculatory duct dilatation is effective and safe for the treatment of Müllerian duct cyst accompanied with ejaculatory duct obstruction.
authors.affiliation: Department f Urology, Subei Poeple's Hospital, Yangzhou Jiangsu 225001, China.
authors.forename: Changkun
authors.initials: C
authors.lastname: Liu
authors.affiliation: Department of Urology, First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Song
authors.affiliation: Department of Urology, First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.
authors.forename: Yunfei
authors.initials: Y
authors.lastname: Dun
authors.affiliation: Department of Urology, First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.
authors.forename: Shengli
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Urology, First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.
authors.forename: Zengjun
authors.initials: Z
authors.lastname: Wang
mesh_terms: D003560:Cysts / Q000601:surgery*; D004106:Dilatation; D004542:Ejaculation; D004543:Ejaculatory Ducts / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000473:pathology / Q000601:surgery; D008297:Male; D009095:Mullerian Ducts / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D012661:Semen; D055101:Semen Analysis; D012669:Seminal Vesicles / Q000601:surgery; D013094:Spermatozoa