{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:17:27Z","timestamp":1788347847362,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The current study aimed to evaluate the long-term outcomes of TURED (transurethral resection of the ejaculatory duct) in treating male infertility due to ejaculatory duct obstruction (EDO) to the short-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From 2000 to 2010, we retrospectively reviewed 30 men with infertility resulting from EDO who underwent TURED. Information on preoperative evaluation of patients was collected from the medical records. Standardized semen analysis was performed 6 weeks, 3 months, and 12 months postoperatively, as well as after a 7-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The average age of patients was 35.5\u2009\u00b1\u20092.6. All patients had low ejaculate volume and normal range of the mean serum hormone levels (gonadotropins and testosterone). Transrectal ultrasonography (TRUS) assessment revealed midline cysts in 46.7% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200914 cases), a seminal vesicle dilatation in 83.3% (25\/30 cases), and ejaculatory duct dilatation in 76.7% (23\/30 patients). In addition, two patients (6.6%) underwent MRI pelvis to confirm equivocal EDO by TRUS. After short-term and long-term follow-up, semen parameters improved significantly in 90% of cases\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      63.3% of cases, respectively, with statistically insignificant differences in all parameters (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\u2265\u20090.1). Based on subgroup analysis, semen parameters improved in all partial EDO and cystic EDO cases\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      complete EDO and noncystic EDO, respectively. Spontaneous pregnancies were achieved in 10 (33.3%)\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      8 (26.6%) cases after short and long term, respectively. Regarding post-TURED complications, we reported 23.3% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20097).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TURED is an effective treatment for EDO. It significantly improves all semen parameters and improves the symptoms related to EDO after short and long-term follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2021.0840","type":"journal-article","created":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T10:46:10Z","timestamp":1644835570000},"page":"982-988","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Long-Term Success Durability of Transurethral Resection of Ejaculatory Duct in Treating Infertile Men with Ejaculatory Duct Obstruction"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2628-8407","authenticated-orcid":false,"given":"Ibrahim","family":"Abdel-Al","sequence":"first","affiliation":[{"name":"Urology Department, Faculty of Medicine, Al-Azhar University, Assiut Branch, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8407-0564","authenticated-orcid":false,"given":"Adel","family":"Elatreisy","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4351-3503","authenticated-orcid":false,"given":"Gamal M.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine, Al-Azhar University, Assiut Branch, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6760-3795","authenticated-orcid":false,"given":"Tarek Mohamed","family":"Gharib","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine, Benha University, Benha, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,7,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(02)03105-9"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2015.276"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-007-9273-z"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)39455-7"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2021.08.014"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)60510-X"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-012-0253-6"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2008.01.011"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2020.20228"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000101909.70651.d1"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)32603-4"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65686-6"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)57993-X"},{"key":"e_1_3_4_15_2","first-page":"Doc06","article-title":"Less invasive causal treatment of ejaculatory duct obstruction by balloon dilation: A case report, literature review and suggestion of a CT-or MRI-guided intervention","volume":"10","author":"Kayser O","year":"2012","unstructured":"Kayser O, , Osmonov D, , Harde J, , Girolami G, , Wedel T, , Sch\u00e4fer P. Less invasive causal treatment of ejaculatory duct obstruction by balloon dilation: A case report, literature review and suggestion of a CT-or MRI-guided intervention. Ger Med Sci, 2012; 10:Doc06.","journal-title":"Ger Med Sci"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09775.x"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.175.3.1750777"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.15406\/mojs.2019.07.00160"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(01)01817-9"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)63243-9"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)36387-5"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.165.6.7484587"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2605.1998.00111.x"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.3233\/XST-130377"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.03.019"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35711-7"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2019.01.001"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-021-00511-x"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.08.084"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/end.2021.0840","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2021.0840","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2021.0840","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:14:22Z","timestamp":1777407262000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/end.2021.0840"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":28,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1089\/end.2021.0840"],"URL":"https:\/\/doi.org\/10.1089\/end.2021.0840","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}