Tags

Type your tag names separated by a space and hit enter

[Transurethral endoscopic treatment for chronic hematospermia caused by müllerian duct cyst and ejaculatory duct obstruction].
Hinyokika Kiyo. 2001 Dec; 47(12):839-42.HK

Abstract

Between June 1997 and September 1999, we performed transurethral unroofing (TUUR) in three patients with hematospermia that recurred repeatedly for one year or more. Patient 1 (48 years old) and Patient 2 (59 years old) were diagnosed as having müllerian duct cysts that communicated with the left ejaculatory duct, and Patient 3 (36 years old) as an ejaculatory duct obstruction with the right ejaculatory duct dilation. A mixture of water-soluble contrast medium and indigocarmine blue dye was injected into the cysts and the ejaculatory duct cavity after incision of the vas deferens in Patients 1 and 3, and by cyst puncture under transrectal ultrasound (TRUS) guidance in Patient 2. Then the urethra was incised between the bladder neck and the verumontanum using a Collins' hot knife electrode, and spouting of the dye from the incision was judged to indicate successful unroofing. In Patient 2, safe and simple TUUR was possible by identifying the cyst location and its distance from the knife electrode under TRUS guidance. Hematospermia resolved after surgery in all three patients and there has been no recurrence for 1.3-3.5 years (mean: 2.6 years). Thus, TUUR was effective for treating chronic hematospermia caused by müllerian duct cyst and ejaculatory duct obstruction. For safe and reliable performance of this treatment, TRUS guidance and injection of the dye into the cyst and ejaculatory duct cavity can be recommended.

Authors+Show Affiliations

Department of Urology, Furuya Hospital.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

11828769

Citation

Furuya, S, et al. "[Transurethral Endoscopic Treatment for Chronic Hematospermia Caused By Müllerian Duct Cyst and Ejaculatory Duct Obstruction]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 47, no. 12, 2001, pp. 839-42.
Furuya S, Ogura H, Shimamura S, et al. [Transurethral endoscopic treatment for chronic hematospermia caused by müllerian duct cyst and ejaculatory duct obstruction]. Hinyokika Kiyo. 2001;47(12):839-42.
Furuya, S., Ogura, H., Shimamura, S., Itoh, N., & Tsukamoto, T. (2001). [Transurethral endoscopic treatment for chronic hematospermia caused by müllerian duct cyst and ejaculatory duct obstruction]. Hinyokika Kiyo. Acta Urologica Japonica, 47(12), 839-42.
Furuya S, et al. [Transurethral Endoscopic Treatment for Chronic Hematospermia Caused By Müllerian Duct Cyst and Ejaculatory Duct Obstruction]. Hinyokika Kiyo. 2001;47(12):839-42. PubMed PMID: 11828769.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Transurethral endoscopic treatment for chronic hematospermia caused by müllerian duct cyst and ejaculatory duct obstruction]. AU - Furuya,S, AU - Ogura,H, AU - Shimamura,S, AU - Itoh,N, AU - Tsukamoto,T, PY - 2002/2/7/pubmed PY - 2002/2/16/medline PY - 2002/2/7/entrez SP - 839 EP - 42 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 47 IS - 12 N2 - Between June 1997 and September 1999, we performed transurethral unroofing (TUUR) in three patients with hematospermia that recurred repeatedly for one year or more. Patient 1 (48 years old) and Patient 2 (59 years old) were diagnosed as having müllerian duct cysts that communicated with the left ejaculatory duct, and Patient 3 (36 years old) as an ejaculatory duct obstruction with the right ejaculatory duct dilation. A mixture of water-soluble contrast medium and indigocarmine blue dye was injected into the cysts and the ejaculatory duct cavity after incision of the vas deferens in Patients 1 and 3, and by cyst puncture under transrectal ultrasound (TRUS) guidance in Patient 2. Then the urethra was incised between the bladder neck and the verumontanum using a Collins' hot knife electrode, and spouting of the dye from the incision was judged to indicate successful unroofing. In Patient 2, safe and simple TUUR was possible by identifying the cyst location and its distance from the knife electrode under TRUS guidance. Hematospermia resolved after surgery in all three patients and there has been no recurrence for 1.3-3.5 years (mean: 2.6 years). Thus, TUUR was effective for treating chronic hematospermia caused by müllerian duct cyst and ejaculatory duct obstruction. For safe and reliable performance of this treatment, TRUS guidance and injection of the dye into the cyst and ejaculatory duct cavity can be recommended. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/11828769/[Transurethral_endoscopic_treatment_for_chronic_hematospermia_caused_by_müllerian_duct_cyst_and_ejaculatory_duct_obstruction]_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/114668 DB - PRIME DP - Unbound Medicine ER -