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Ejaculatory-duct calculus causing secondary obstruction and infertility.

Philip J, Manikandan R, Lamb GH, Desmond AD

Department of Urology, Royal Liverpool University Hospital, Liverpool, United Kingdom. indianajoe@gmail.com <indianajoe@gmail.com>

OBJECTIVE: To report on a patient with ejaculatory-duct calculi that caused secondary obstruction and infertility. DESIGN: Case report. SETTING: Clinical. PATIENT: A 32-year-old man. INTERVENTIONS: Magnetic resonance imaging, vasography, transurethral resection of the veru, and a review of similar cases. RESULT(S): 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.

Published 11 September 2007 in Fertil Steril, 88(3): 706.e9-11.
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