A Novel Surgical Management for Male Infertility Secondary to Midline Prostatic Cyst

Gong Cheng; Bianjiang Liu; Zhen Song; Aiming Xu; Ninghong Song; Zengjun Wang

BMC Urol. 2015;15(18)

Results

All operations were completed without conversion to open surgery. There were no severe complications such as rectal injury and urethral sphincter damage. The average length of hospitalization was 3 days. Serum sex hormone levels of all patients prior to and after surgery were within the normal range. The preoperative and postoperative semen parameters were shown in Table 1. After 3 months follow up, the semen quality of 80% patients (4/5) with oligoasthenozoospermia improved obviously. The spermatozoa were present in the semen in 5 of 7 cases with azoospermia. In one patient, the spermatozoa occurred in the urine after ejaculation.

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Table 1. The preoperative and postoperative semen parameters of 12 cases
	Preoperative		Postoperative
	Concentration (10⁶/mL)	Grade a + b (%)	Concentration (10⁶/mL)	Grade a + b (%)
Oligoasthenozoospermia 1	11	33.3	45	60.0
Oligoasthenozoospermia 2	6	12.7	21	48.5
Oligoasthenozoospermia 3	15	26.1	73	66.5
Oligoasthenozoospermia 4	2	12.3	4	11.1
Oligoasthenozoospermia 5	9	22.4	50	59.6
Azoospermia 1	0	0	21	62.3
Azoospermia 2	0	0	17	52.3
Azoospermia 3	0	0	0	0
Azoospermia 4	0	0	32	68.7
Azoospermia 5	0	0	10	45.5
Azoospermia 6^*	0	0	0	0
Azoospermia 7	0	0	43	57.9