Open AccessMullerian duct cyst: a curable entity of male infertility. Two case reports
Author(s) -
Kobori Yoshitomo,
Sato Ryo,
Ashizawa Yoshio,
Yagi Hiroshi,
So Shigehiro,
Arai Gaku,
Okada Hiroshi,
Okuyama Takashi
Publication year - 2010
Publication title -
reproductive medicine and biology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.005
H-Index - 22
eISSN - 1447-0578
pISSN - 1445-5781
DOI - 10.1007/s12522-010-0063-4
Subject(s) - medicine , mullerian ducts , cyst , infertility , mesonephric duct , duct (anatomy) , ejaculatory duct , magnetic resonance imaging , gynecology , ultrasound , radiology , urology , surgery , prostate , pregnancy , uterus , seminal vesicle , genetics , cancer , biology , kidney
Purpose Mullerian duct cyst is a rudiment of a Mullerian duct in the fetal period which causes ejaculatory duct obstruction and male infertility. Case report We report two patients with Mullerian duct cyst that presented with low ejaculate volume, oligoasthenoteratozoospermia and azoospermia syndrome. Transrectal ultrasound (TRUS) and magnetic resonance image (MRI) revealed a midline prostatic cystic structure. In each case, we performed a TRUS guided transperineal aspiration of the cyst. Seminograms of the patients improved and one of their wives got spontaneously pregnant 3 months after the surgery. Conclusion We should assume the TRUS guided aspiration of Mullerian duct cyst.