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Human Reproduction, Vol. 14, No. 9, 2297-2300, September 1999
© 1999 European Society of Human Reproduction and Embryology

Transurethral deroofing of midline prostatic cyst for subfertile men

Erik B Cornel, Gert R Dohle and Eric J.H Meuleman,

1 Department of Urology Academic Hospital Nijmegen, P.O. Box 9101, 6500 HB Nijmegen and 2 Department of Urology Academic Hospital Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands

We evaluated the efficacy of transurethral deroofing of a midline prostatic cyst in subfertile men with one or more of the following semen abnormalities: decreased ejaculatory volume, decreased sperm motility and oligo- or azoospermia. Results from treatment of a series of 11 subfertile men with a midline prostatic cyst by transurethral deroofing of the cyst are presented. Five patients showed an improvement of seminal volume. Only one patient demonstrated an improvement of sperm count. Sperm motility was not influenced. No relationship was found between positive outcome following operation and either size of the cyst or dilatation of the seminal vesicles. Spontaneous pregnancies did not occur after transurethral deroofing of the midline prostatic cyst. In conclusion, our study suggests a poor efficacy of transurethral deroofing of a midline prostatic cyst in subfertile men with the above mentioned semen abnormalities.

Key words: male subfertility/prostatic cyst/transurethral deroofing

3 To whom correspondence should be addressed E-mail: E.Meuleman{at}uro.azn.nl


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