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Infertility due to ejaculatory duct obstruction can be surgically corrected—a forgotten lesson in male reproductive urology

      Ejaculatory duct obstruction is a well-defined, potentially correctable cause of male infertility. It is diagnosed infrequently and is found in only up to 5% of infertile men (
      • Modgil V.
      • Rai S.
      • Ralph D.J.
      • Muneer A.
      An update on the diagnosis and management of ejaculatory duct obstruction.
      ). Male infertility due to ejaculatory duct obstruction is often secondary to azoospermia or, rarely, severe impairment of semen parameters even if some spermatozoa are present in the ejaculate. Because spermatogenesis is still normal in most of these men, surgical sperm retrieval for assisted reproduction with intracytoplasmic sperm injection is feasible and often is suggested as the first line of infertility management.
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