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Case report: Endoscopic laser lithotripsy of seminal-vesicle stones.
J Endourol. 2006 Nov; 20(11):916-8.JE

Abstract

A 25-year-old man presented with painful ejaculation, an ejaculate volume of 0.75, and complaints of passing "granules" in the semen. Transrectal ultrasonography showed bilateral seminal vesicle enlargement. The patient underwent transurethral resection of the ejaculatory duct. The entry point of duct was resected using pure cutting current, resulting in the passage of multiple proteinaceous-appearing stones. Approximately 10 months later, the patient reported recurrent painful ejaculation and passage of granules in his semen. At cystoscopy, the ejaculatory duct openings were intubated with a cone-tipped catheter to perform bilateral seminal vesiculograms, which showed numerous mobile filling defects and a Steinstrasse appearance at the ejaculatory ducts. A 7F semirigid ureteroscope entered the lumen without difficulty over a guidewire, and the stones were fragmented with a 270-microm holmium laser fiber. The ejaculatory ducts were balloon dilated to 18F. To our knowledge, this is the first reported case where a ureteroscope was utilized to treat seminal-vesicle stones. The seminal vesiculogram proved to be extremely valuable in the diagnosis.

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Authors+Show Affiliations

Cuda SP
Department of Urology, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.
Brand TC
No affiliation info available
Thibault GP
No affiliation info available
Stack RS
No affiliation info available

MeSH

AdultCalculiCystoscopyEjaculatory DuctsGenital Diseases, MaleHumansLithotripsy, LaserMaleSemenSeminal VesiclesUltrasonography

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17144863

Citation

Cuda, Scott P., et al. "Case Report: Endoscopic Laser Lithotripsy of Seminal-vesicle Stones." Journal of Endourology, vol. 20, no. 11, 2006, pp. 916-8.
Cuda SP, Brand TC, Thibault GP, et al. Case report: Endoscopic laser lithotripsy of seminal-vesicle stones. J Endourol. 2006;20(11):916-8.
Cuda, S. P., Brand, T. C., Thibault, G. P., & Stack, R. S. (2006). Case report: Endoscopic laser lithotripsy of seminal-vesicle stones. Journal of Endourology, 20(11), 916-8.
Cuda SP, et al. Case Report: Endoscopic Laser Lithotripsy of Seminal-vesicle Stones. J Endourol. 2006;20(11):916-8. PubMed PMID: 17144863.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Case report: Endoscopic laser lithotripsy of seminal-vesicle stones. AU - Cuda,Scott P, AU - Brand,Timothy C, AU - Thibault,Gregory P, AU - Stack,Richard S, PY - 2006/12/6/pubmed PY - 2007/2/21/medline PY - 2006/12/6/entrez SP - 916 EP - 8 JF - Journal of endourology JO - J Endourol VL - 20 IS - 11 N2 - A 25-year-old man presented with painful ejaculation, an ejaculate volume of 0.75, and complaints of passing "granules" in the semen. Transrectal ultrasonography showed bilateral seminal vesicle enlargement. The patient underwent transurethral resection of the ejaculatory duct. The entry point of duct was resected using pure cutting current, resulting in the passage of multiple proteinaceous-appearing stones. Approximately 10 months later, the patient reported recurrent painful ejaculation and passage of granules in his semen. At cystoscopy, the ejaculatory duct openings were intubated with a cone-tipped catheter to perform bilateral seminal vesiculograms, which showed numerous mobile filling defects and a Steinstrasse appearance at the ejaculatory ducts. A 7F semirigid ureteroscope entered the lumen without difficulty over a guidewire, and the stones were fragmented with a 270-microm holmium laser fiber. The ejaculatory ducts were balloon dilated to 18F. To our knowledge, this is the first reported case where a ureteroscope was utilized to treat seminal-vesicle stones. The seminal vesiculogram proved to be extremely valuable in the diagnosis. SN - 0892-7790 UR - https://www.unboundmedicine.com/medline/citation/17144863/Case_report:_Endoscopic_laser_lithotripsy_of_seminal_vesicle_stones_ L2 - https://www.liebertpub.com/doi/10.1089/end.2006.20.916?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -