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Chapter 23 - Management of ejaculatory duct obstruction

Published online by Cambridge University Press:  19 May 2010

By
Aleksander Chudnovsky  and
Victor M. Brugh III
Edited by
Larry I. Lipshultz ,
Stuart S. Howards  and
Craig S. Niederberger
Larry I. Lipshultz
Affiliation:
Baylor College of Medicine
Stuart S. Howards
Affiliation:
University of Virginia
Craig S. Niederberger
Affiliation:
University of Illinois, Chicago
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Summary

This chapter offers a discussion of basic normal ejaculatory duct embryology, anatomy, and physiology to lay a foundation for an understanding of the clinical findings and treatment of obstruction. In the male the mesonephric duct continues to develop into the epididymis, vas deferens, seminal vesicle, and ejaculatory duct. The remnant Müllerian structures in the male are the prostatic utricle and appendix testis, and in some men remnant Müllerian duct structures can be found in the midline of the prostate as Müllerian duct cysts. The ultrasonographic diagnosis of ejaculatory duct obstruction is based upon the finding of dilation of the seminal vesicles and abnormalities in the region of the ejaculatory ducts. Stricturing of the resected ejaculatory ducts may represent the most significant complication in regard to fertility, and may occur immediately or in a delayed fashion.

Keywords

antispermatogenic autoantigenscervical mucusimmunologic infertilitynormal immune system functionin-vitro fertilizationintrauterine insemination
Type
Chapter
Information
Infertility in the Male , pp. 421 - 429
Publisher: Cambridge University Press
Print publication year: 2009

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