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A clinical entity of cystic dilatation of the utricle associated with hemospermia.
J Urol. 2005 Sep; 174(3):1039-42.JU

Abstract

PURPOSE

We investigated the mechanism of hemospermia in patients with a midline cyst (MLC) of the prostate, focusing on cystic dilatation of the utricle (CDU) as a possible causative lesion.

MATERIALS AND METHODS

Of 138 patients with hemospermia 30 (22%) had an MLC, of whom 19 underwent transperineal needle aspiration of the MLC and bilateral seminal vesicles to determine the site of bleeding. Following MLC aspiration a mixture of dye and contrast medium was injected. The verumontanum was observed endoscopically and pelvic x-ray was done.

RESULTS

Seminal vesicle fluid on 1 or 2 sides was hemorrhagic in 13 of the 19 patients (aspiration failed in 6) and fluid from the MLC was nonhemorrhagic in 5 of the 19 (aspiration failed in 7). The MLC communicated with the urethra (CDU) in 15 patients (79%) and with 1 or 2 ejaculatory ducts in 11 (58%). In 5 of 11 patients with communication with the ejaculatory duct hemospermia persisted for more than 1 year. Four of these patients were cured by transurethral unroofing of the CDU.

CONCLUSIONS

CDU is a significant underlying lesion for hemospermia. Communication with the ejaculatory ducts was frequent in patients with chronic hemospermia and transurethral unroofing was effective for eliminating hemospermia.

Authors+Show Affiliations

Furuya S
Department of Urology, Furuya Hospital, Kitami, Japan.
Kato H
No affiliation info available

MeSH

AdultAgedBloodCystsDiagnosis, DifferentialDilatation, PathologicEjaculatory DuctsEndosonographyHumansMaleMiddle AgedProstatic DiseasesSemenSeminal VesiclesSuctionUrethra

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16094043

Citation

Furuya, Seiji, and Haruaki Kato. "A Clinical Entity of Cystic Dilatation of the Utricle Associated With Hemospermia." The Journal of Urology, vol. 174, no. 3, 2005, pp. 1039-42.
Furuya S, Kato H. A clinical entity of cystic dilatation of the utricle associated with hemospermia. J Urol. 2005;174(3):1039-42.
Furuya, S., & Kato, H. (2005). A clinical entity of cystic dilatation of the utricle associated with hemospermia. The Journal of Urology, 174(3), 1039-42.
Furuya S, Kato H. A Clinical Entity of Cystic Dilatation of the Utricle Associated With Hemospermia. J Urol. 2005;174(3):1039-42. PubMed PMID: 16094043.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A clinical entity of cystic dilatation of the utricle associated with hemospermia. AU - Furuya,Seiji, AU - Kato,Haruaki, PY - 2005/8/12/pubmed PY - 2005/9/29/medline PY - 2005/8/12/entrez SP - 1039 EP - 42 JF - The Journal of urology JO - J Urol VL - 174 IS - 3 N2 - PURPOSE: We investigated the mechanism of hemospermia in patients with a midline cyst (MLC) of the prostate, focusing on cystic dilatation of the utricle (CDU) as a possible causative lesion. MATERIALS AND METHODS: Of 138 patients with hemospermia 30 (22%) had an MLC, of whom 19 underwent transperineal needle aspiration of the MLC and bilateral seminal vesicles to determine the site of bleeding. Following MLC aspiration a mixture of dye and contrast medium was injected. The verumontanum was observed endoscopically and pelvic x-ray was done. RESULTS: Seminal vesicle fluid on 1 or 2 sides was hemorrhagic in 13 of the 19 patients (aspiration failed in 6) and fluid from the MLC was nonhemorrhagic in 5 of the 19 (aspiration failed in 7). The MLC communicated with the urethra (CDU) in 15 patients (79%) and with 1 or 2 ejaculatory ducts in 11 (58%). In 5 of 11 patients with communication with the ejaculatory duct hemospermia persisted for more than 1 year. Four of these patients were cured by transurethral unroofing of the CDU. CONCLUSIONS: CDU is a significant underlying lesion for hemospermia. Communication with the ejaculatory ducts was frequent in patients with chronic hemospermia and transurethral unroofing was effective for eliminating hemospermia. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/16094043/A_clinical_entity_of_cystic_dilatation_of_the_utricle_associated_with_hemospermia_ DB - PRIME DP - Unbound Medicine ER -