Abstract
Ease of sperm retrieval has not been previously described as a goal for patients undergoing radical prostatectomy for prostate cancer; however preservation of fertility is a known concern for some younger prostate cancer patients. We present the first known case of a patient with postejaculatory spermaturia following robotic assisted radical prostatectomy. We hypothesize that this is due to fistula formation between the vas deferens and the urinary tract.
Highlights
The mean age at diagnosis of prostate cancer from 2005 to 2009 was 67 years of age [1]
Patients with low or intermediate risk disease and a more favorable prognosis of cure from surgery alone might benefit from an attempt at concomitant preservation of continuity of the vas with the urinary tract in order to facilitate ease of sperm retrieval for future efforts of conception
While data on fertility in cancer patients is prevalent in the literature, a Medline search using “fertility and prostatectomy” as well as more specific terms “spermaturia and prostatectomy” did not yield any results that described similar findings to the aforementioned case
Summary
The mean age at diagnosis of prostate cancer from 2005 to 2009 was 67 years of age [1]. For the majority of patients in this age group, maintaining fertility is not a high priority. Urinary continence, and erectile function are the more concerning outcomes for patients [2]. There are reports of younger men with prostate cancer undergoing sperm cryopreservation and percutaneous epididymal sperm extraction (PESA) for intracytoplasmic sperm injection (ICSI) [3,4,5]. Patients with low or intermediate risk disease and a more favorable prognosis of cure from surgery alone might benefit from an attempt at concomitant preservation of continuity of the vas with the urinary tract in order to facilitate ease of sperm retrieval for future efforts of conception
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
