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    Urologists illustrate key steps in management of duct obstruction


    Transurethral resection of ejaculatory ducts: a step-by-step guide - Ranjith Ramasamy, MD, and colleagues





    This video provides a step-by-step guide for transurethral resection of the ejaculatory ducts (TURED). An important step in TURED is utilizing transrectal ultrasonography-guided seminal vesicle puncture for instillation of methylene blue to allow more precise identification of ejaculatory ducts. Vesiculography under low pressure can be performed at the end of the procedure to assess for patency of ejaculatory ducts.

    Dr. Hotaling: Here Dr. Ramasamy and colleagues illustrate a technique that allows both proper visualization of the ducts and confirmation of patency. These techniques ensure an adequate resection to improve potency. They also illustrate the importance of selecting the proper patients for this procedure.

    Ranjith Ramasamy, MDRanjith Ramasamy, MD

    Dr. Ramasamy is director of male reproductive medicine and surgery and assistant professor of urology at the University of Miami.



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