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Original Research

Open Access

Transurethral resection of ejaculatory ducts (TURED) for the management of ejaculatory duct obstruction: a Saudi cohort

  • Hammam Mandourah1,†
  • Mohammad Alghafees2,*,†,
  • Lama Aldosari3
  • Omar Alfehaid4
  • Abdulaziz Almujaydil4
  • Said Kattan4
  • Naif Alhathal4

1Urology, King Abdulaziz University Hospital, 22230 Jeddah, Saudi Arabia

2College of Medicine, King Saud bin Abdulaziz University for Health Sciences, 12211 Riyadh, Saudi Arabia

3Department of Urology, King Fahad University Hospital, 34217 Al-Khobar, Saudi Arabia

4Urology, King Faisal Specialist Hospital and Research Centre, 11211 Riyadh, Saudi Arabia

DOI: 10.22514/jomh.2023.086 Vol.19,Issue 9,September 2023 pp.76-81

Submitted: 18 April 2023 Accepted: 13 June 2023

Published: 30 September 2023

*Corresponding Author(s): Mohammad Alghafees E-mail:

† These authors contributed equally.


This retrospective study aimed to investigate the clinical characteristics, changes in semen parameters, and outcomes of adult patients with ejaculatory duct obstruction (EDO) who underwent transurethral resection of ejaculatory ducts (TURED). The study included 25 patients diagnosed with EDO who underwent TURED at King Faisal Specialist Hospital & Research Center in Saudi Arabia between January 2015 and December 2021. The results showed that 68% of the patients had complete ED obstruction, while 32% had partial obstruction. Primary infertility was reported in 68%of the patients, with 4% experiencing secondary infertility. The analysis revealed a significant increase in semen volume greater than 0.6 after TURED, while there was a significant decrease in volumes ranging from 0.1 to 0.3 and from 0.4 to 0.6. Patients with partial ED obstruction demonstrated a significant improvement in semen parameters compared to those with complete ED obstruction. The findings suggest that TURED is a safe and effective treatment option for EDO, leading to significant improvements in semen parameters and potentially resulting in spontaneous pregnancy. However, further research is needed to identify specific patient subgroups that may benefit the most from TURED. While magnetic resonance imaging (MRI) with an endorectal coil has been proposed for more detailed evaluation, transrectal ultrasound (TRUS) has been suggested as the standard examination technique.


Transurethral resection; Ejaculatory duct obstruction; Infertility; Azoospermia; Assisted reproductive technology

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Hammam Mandourah,Mohammad Alghafees,Lama Aldosari,Omar Alfehaid,Abdulaziz Almujaydil,Said Kattan,Naif Alhathal. Transurethral resection of ejaculatory ducts (TURED) for the management of ejaculatory duct obstruction: a Saudi cohort. Journal of Men's Health. 2023. 19(9);76-81.


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