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Transurethral seminal vesiculoscopy acts as a therapeutic investigation for intractable hemospermia: Step-by-step illustrations and single-surgeon experience
- Source :
- International journal of urology : official journal of the Japanese Urological Association. 25(6)
- Publication Year :
- 2017
-
Abstract
- Objective To describe the methodology of transurethral seminal vesiculoscopy and the anatomy of the seminal tract, and to report a single-surgeon experience with this procedure. Methods A total of 38 consecutive patients with intractable macroscopic hemospermia were enrolled from January 2010 to July 2016. A 6/7.5-Fr semirigid ureteroscope was used to enter the seminal tract by one of these two approaches: through either a trans-ejaculatory duct opening or a trans-utricle fenestration. Patient characteristics and their preoperative and postoperative measurements were analyzed retrospectively. Results The success rate of transurethral seminal vesiculoscopy was 92.1%, whereas the approaching method in most patients was the trans-utricle fenestration (88.89%). A total of 34 (94.4%) transurethral seminal vesiculoscopy inspections ended with complete remission, even though nearly half of them (47.2%) only disclosed negative perioperative findings. The median period to complete remission was 4 weeks (interquartile range 4-6 weeks) after the procedure. Four patients had recurrent hemospermia, and the median time to recurrence was 21.5 (range 13-48.5) months. Conclusions Transurethral seminal vesiculoscopy is a valuable diagnostic tool for intractable hemospermia, and also plays a therapeutic role by blocking the vicious cycle of stasis, calculi and seminal vesiculitis. More familiarity of the anatomy and enough practice would make the learning curve less steep.
- Subjects :
- Adult
Male
medicine.medical_specialty
Urology
030232 urology & nephrology
Patient characteristics
03 medical and health sciences
0302 clinical medicine
Interquartile range
Recurrence
medicine
Humans
Seminal tract
Retrospective Studies
business.industry
Complete remission
Seminal Vesicles
Hemospermia
Endoscopy
Perioperative
Middle Aged
Single surgeon
Surgery
Ejaculatory Ducts
Treatment Outcome
030220 oncology & carcinogenesis
Ureteroscopes
Fenestration
business
Subjects
Details
- ISSN :
- 14422042
- Volume :
- 25
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- International journal of urology : official journal of the Japanese Urological Association
- Accession number :
- edsair.doi.dedup.....e50a7edc2ae525c56ffcbce3630898d1