Transurethral Resection of Ejaculatory Duct in Primary Infertile Men with Distal Ejaculatory Duct Obstruction/Distal Ejakulatuvar Kanal Tikanikligi Olan Primer Infertil Erkeklerde Transuretral Ejakulatuvar Kanal Rezeksiyonu

Objective: We evaluated the outcome of transurethral resection for the treatment of distal ejaculatory duct obstruction with primary infertile men. Materials and Methods: We retrospectively evaluated 23 primary infertile men, who had distal ejaculatory duct obstruction, between June 2006 and July 2018. All patients were treated by transurethral resection of the ejaculatory duct. Results: The mean age of the patients was 31.82[+ or -]5.01 years. Preoperative and postoperative seminal parameters were compared. There was a statistically significant increase in ejaculate volume, sperm concentration, sperm motility and total motile sperm count. Conclusion: Transurethral resection of the ejaculatory duct improved sperm parameters in most of the primary infertile men with distal ejaculatory duct obstruction. Transurethral resection may also decrease the need for assisted reproduction methods and allow in-vitro fertilization/intracytoplasmic sperm injection with ejaculated sperm in some azoospermic patients. Keywords: Ejaculatory duct obstruction, Transurethral resection, Male infertility Amac: Distal ejakulatuvar kanal tikanikligi olan primer enfertil erkeklerin tedavisinde transuretral rezeksiyonun sonucunu degerlendirdik. Gerec ve Yontem: Haziran 2006 ile Temmuz 2018 arasinda distal ejakulator kanal tikanikligi tanisi alan 23 primer enfertil erkegi retrospektif olarak degerlendirdik. Tum hastalar ejakulator kanalin transuretral rezeksiyonu ile tedavi edildi. Bulgular: Hastalarin yas ortalamasi 31,82[+ or -]5,01 yildi. Hastalarin ameliyat oncesi ve sonrasi seminal parametreleri karsilastirildi. Ejakulat hacminde sperm konsantrasyonunda, sperm hareketinde ve total motil sperm sayisinda istatistiksel olarak anlamli bir artis vardi. Sonuc: Ejakulator kanalin transuretral rezeksiyonu distal ejakulatuvar kanal tikanikligi olan primer enfertil erkeklerin cogunda sperm parametrelerinde iyilesme saglar. Ayrica, transuretral rezeksiyon yardimla ureme yontemleri ihtiyacini azaltabilir ve baslangicta azoospermik olan hastalarda ejakulat spermi kullanilarak in vitro fertilizasyon/intrasitoplazmik sperm injeksiyonu yapilmasina olanak saglayabilir. Anahtar Kelimeler: Ejakulatuvar kanal kisti, Transuretral rezeksiyon, Erkek infertilitesi