EJACULATORY DUCT OBSTRUCTION - TRUS-GUIDED OPACIFICATION OF SEMINAL TRACTS

Objective: To assess the usefulness of TRUS-guided aspiration and opac ification of seminal tracts in the evaluation and management of patien ts with ejaculatory duct obstruction (EDO). Methods: In 21 men who had dilated seminal vesicles and/or midline cysts on TRUS, a mixture of c ontrast media and indigocarmine was injected and then pelvic radiograp hs were taken. Results: The diagnoses based on the findings of TRUS-gu ided opacification were bilateral EDO in 9 patients, unilateral EDO in 1, and midline cyst with EDO in Ii. Midline cysts had communication w ith seminal tracts in 7. Transurethral unroofing was performed in 12, in all of whom blue color of the injected indigocarmine facilitated th e surgical procedure. Conclusion: TRUS-guided opacification of the sem inal tracts with a mixture of contrast media and indigocarmine may be valuable in the evaluation and management of the patients with EDO.