Dilated Vas Deferens, ejaculatory ducts & seminal vesicles in obstructive azoospermia on ultrasound

In cases of obstructive azoospermia, dilated vas deferens and ejaculatory ducts can be observed on ultrasound. This finding suggests an obstruction in the reproductive tract preventing sperm from being released. Specifically, ultrasound may reveal dilation of the epididymal tubules, rete testis, or the proximal vas deferens. In addition, transrectal ultrasound can better visualize dilated seminal vesicles or ejaculatory ducts, indicating an obstruction.

Other Imaging:

In some cases, further imaging like vasography (contrast injection into the vas deferens) or MRI may be used to evaluate the extent and nature of the obstruction.

Treatment:

The treatment for obstructive azoospermia depends on the cause and location of the obstruction, and may include surgical repair of the vas deferens or ejaculatory ducts, or procedures like vasectomy reversal.

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