Successful Treatment of Obstructive Oligospermia/Azoospermia Due to Mullerian Duct Cyst by Transurethral Resection: A Case Report

Document Type : Case Report


1 Andrology Department, Royan Institute

2 Endocrinology and Female Infertility Department, Royan Institute


Cystic lesions in midline of prostate are uncommon and considered as congenital disorders. Here we report a 33- year- old male who presented with either azoospermia or decreased ejaculate volume leading to infertility and for whom performing Transrectal ultrasonography had a critical role in diagnosis. The obtained images revealed a congenital cyst of the prostate gland just in middle portion of prostate. Transurethral resection (TUR) of the cyst subsequently resulted in normalization of the semen analysis and restitution of the patient's fertility. Spontaneous pregnancy occurred 2 months after TUR.
Transrectal ultrasonography currently is the most accurate, inexpensive and readily available noninvasive imaging technique used to diagnose obstruction of the ejaculatory ducts in the infertile patient with either azoospermia or low ejaculate volume.