ArticleSexual medicine2020
Ejaculatory Duct Obstruction in the Setting of an Ectopic Ureter.
Article in Sexual medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Ectopic ureter inserting into the ejaculatory duct: A case report.Urology case reports · 2026Article
- Congenital duplicated ureter-vagina anomalous anastomosis causing female urinary incontinence: a case report and literature review.Frontiers in pediatrics · 2025Article
- A Rare Variant of Zinner Syndrome Involving Ectopic Ureteral Implantation into the Seminal Vesicle Causing Recurrent Epididymitis.Case reports in urology · 2024Article
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2 authors.
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Abstract
introductionA 17-year-old man was referred to a tertiary care urologist for hematuria, hematospermia, and testalgia. The patient had a history of right-sided renal dysgenesis at birth.
methodsFluoroscopic investigation with retrograde seminal vesiculography demonstrated the right ureter implanted ectopically into the right ejaculatory duct. Magnetic resonance imaging of the pelvis showed the ectopic ureter present proximally from the level of the external iliac vessels and implanting into a cystic dilatation on the posterolateral aspect of the prostate. Robot-assisted laparoscopic nephroureterectomy was performed finding an ectopic right ureter forming a confluent cyst with the right ejaculatory duct composed of the seminal vesicle (SV) duct, ureter, and ductus deferens. Incision of the SV revealed mucin balls obstructing the ejaculatory duct.
resultsThe nephroureterectomy and removal of the mucin balls resolved the patient's pain at the 1-month follow-up.
conclusionPainful ejaculation or hematospermia in the presence of known renal dysgenesis may constitute Zinner's syndrome and be an indication for pelvic magnetic resonance imaging or retrograde seminal vesiculography investigation. The classic presentation of pain with contraction of hollow organs and associated proximal dilation on imaging can be applied to the ejaculatory duct. Robot-assisted laparoscopic nephroureterectomy with preservation of the effected SV was a suitable surgical approach for both diagnostic and therapeutic purposes in this case of Zinner's syndrome. Joseph Shawn Smith, William Patrick Springhart. Ejaculatory Duct Obstruction in the Setting of an Ectopic Ureter. Sex Med 2020;8:574-576.
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