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Transurethral incision for hematospermia caused by ejaculatory duct obstruction.
Arch Androl. 2003 Nov-Dec; 49(6):433-8.AA

Abstract

Hematospermia is supposed to be derived from pathological conditions in the seminal vesicle, prostate, testis, epididymis, or urethra. A recent advance in diagnostic procedures has demonstrated the seminal vesicle, the prostate, and midline cyst as potential sources of hematospermia. The authors describe a case of hematospermia caused by ejaculatory duct obstruction, in which a transurethral technique was successful. A 51-year-old male was referred to the authors' clinic with a chief complaint of hematospermia. Transurethral ultrasonography showed a cystic lesion surrounded with hyperechoic area in the middle of the prostate. Vasography demonstrated the distal dilation of the ejaculatory duct. Magnetic resonance imaging demonstrated a high signal intensity area in the middle of the prostate. Urethrocystoscopy showed an enlarged cystic lesion with an orifice at the prostatic urethra, which was incised endoscopically. There was no complication observed postoperatively. Seven months after the technique, hematospermia resolved completely. A midline cyst should be considered a cause of hematospermia and the incidence of such cysts may be higher than that previously recognized. The transurethral technique is expected to be a successful treatment approach.

Authors+Show Affiliations

Department of Urology, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Sugitani 2630, Toyama 930-0194, Japan. fuse@ms.toyama-mpu.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

14555325

Citation

Fuse, H, et al. "Transurethral Incision for Hematospermia Caused By Ejaculatory Duct Obstruction." Archives of Andrology, vol. 49, no. 6, 2003, pp. 433-8.
Fuse H, Nishio R, Murakami K, et al. Transurethral incision for hematospermia caused by ejaculatory duct obstruction. Arch Androl. 2003;49(6):433-8.
Fuse, H., Nishio, R., Murakami, K., & Okumura, A. (2003). Transurethral incision for hematospermia caused by ejaculatory duct obstruction. Archives of Andrology, 49(6), 433-8.
Fuse H, et al. Transurethral Incision for Hematospermia Caused By Ejaculatory Duct Obstruction. Arch Androl. 2003 Nov-Dec;49(6):433-8. PubMed PMID: 14555325.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transurethral incision for hematospermia caused by ejaculatory duct obstruction. AU - Fuse,H, AU - Nishio,R, AU - Murakami,K, AU - Okumura,A, PY - 2003/10/14/pubmed PY - 2004/6/24/medline PY - 2003/10/14/entrez SP - 433 EP - 8 JF - Archives of andrology JO - Arch Androl VL - 49 IS - 6 N2 - Hematospermia is supposed to be derived from pathological conditions in the seminal vesicle, prostate, testis, epididymis, or urethra. A recent advance in diagnostic procedures has demonstrated the seminal vesicle, the prostate, and midline cyst as potential sources of hematospermia. The authors describe a case of hematospermia caused by ejaculatory duct obstruction, in which a transurethral technique was successful. A 51-year-old male was referred to the authors' clinic with a chief complaint of hematospermia. Transurethral ultrasonography showed a cystic lesion surrounded with hyperechoic area in the middle of the prostate. Vasography demonstrated the distal dilation of the ejaculatory duct. Magnetic resonance imaging demonstrated a high signal intensity area in the middle of the prostate. Urethrocystoscopy showed an enlarged cystic lesion with an orifice at the prostatic urethra, which was incised endoscopically. There was no complication observed postoperatively. Seven months after the technique, hematospermia resolved completely. A midline cyst should be considered a cause of hematospermia and the incidence of such cysts may be higher than that previously recognized. The transurethral technique is expected to be a successful treatment approach. SN - 0148-5016 UR - https://www.unboundmedicine.com/medline/citation/14555325/Transurethral_incision_for_hematospermia_caused_by_ejaculatory_duct_obstruction_ L2 - https://medlineplus.gov/blood.html DB - PRIME DP - Unbound Medicine ER -