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Endorectal magnetic resonance imaging in persistent hemospermia.
Int Braz J Urol. 2008 Mar-Apr; 34(2):171-7; discussion 177-9.IB

Abstract

OBJECTIVE

To present the spectrum of abnormalities found at endorectal magnetic resonance imaging (E-MRI), in patients with persistent hemospermia.

MATERIALS AND METHODS

A review of E-MRI findings observed in 86 patients with persistent hemospermia was performed and results compared with those reported in the literature. Follow-up was possible in 37 of 86 (43%) patients with hemospermia.

RESULTS

E-MRI showed abnormal findings in 52 of 86 (60%) patients with hemospermia. These findings were: a) hemorrhagic seminal vesicle and ejaculatory duct, isolated (n = 11 or 21%) or associated with complicated midline prostatic cyst (n = 10 or 19.0%); b) hemorrhagic chronic seminal vesiculitis, isolated (n = 14 or 27%) or associated with calculi within dilated ejaculatory ducts (n = 2 or 4 %); c) hemorrhagic seminal vesicle associated with calculi within dilated ejaculatory duct (n = 4 or 7.7%) or within seminal vesicle (n = 4 or 7.7%); d) non-complicated midline prostatic cyst (n = 6 or 11.5%); and e) prostate cancer (n = 1 or 2%). Successful treatment was more frequent in patients with chronic inflammatory and/or obstructive abnormalities.

CONCLUSION

E-MRI should be considered the modality of choice, for the evaluation of patients with persistent hemospermia.

Authors+Show Affiliations

Department of Radiology and Diagnostic Imaging, Vera Cruz Hospital, Campinas, Sao Paulo, Brazil. aprando@mpc.com.br

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18462515

Citation

Prando, Adilson. "Endorectal Magnetic Resonance Imaging in Persistent Hemospermia." International Braz J Urol : Official Journal of the Brazilian Society of Urology, vol. 34, no. 2, 2008, pp. 171-7; discussion 177-9.
Prando A. Endorectal magnetic resonance imaging in persistent hemospermia. Int Braz J Urol. 2008;34(2):171-7; discussion 177-9.
Prando, A. (2008). Endorectal magnetic resonance imaging in persistent hemospermia. International Braz J Urol : Official Journal of the Brazilian Society of Urology, 34(2), 171-7; discussion 177-9.
Prando A. Endorectal Magnetic Resonance Imaging in Persistent Hemospermia. Int Braz J Urol. 2008 Mar-Apr;34(2):171-7; discussion 177-9. PubMed PMID: 18462515.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endorectal magnetic resonance imaging in persistent hemospermia. A1 - Prando,Adilson, PY - 2008/02/25/accepted PY - 2008/5/9/pubmed PY - 2009/8/22/medline PY - 2008/5/9/entrez SP - 171-7; discussion 177-9 JF - International braz j urol : official journal of the Brazilian Society of Urology JO - Int Braz J Urol VL - 34 IS - 2 N2 - OBJECTIVE: To present the spectrum of abnormalities found at endorectal magnetic resonance imaging (E-MRI), in patients with persistent hemospermia. MATERIALS AND METHODS: A review of E-MRI findings observed in 86 patients with persistent hemospermia was performed and results compared with those reported in the literature. Follow-up was possible in 37 of 86 (43%) patients with hemospermia. RESULTS: E-MRI showed abnormal findings in 52 of 86 (60%) patients with hemospermia. These findings were: a) hemorrhagic seminal vesicle and ejaculatory duct, isolated (n = 11 or 21%) or associated with complicated midline prostatic cyst (n = 10 or 19.0%); b) hemorrhagic chronic seminal vesiculitis, isolated (n = 14 or 27%) or associated with calculi within dilated ejaculatory ducts (n = 2 or 4 %); c) hemorrhagic seminal vesicle associated with calculi within dilated ejaculatory duct (n = 4 or 7.7%) or within seminal vesicle (n = 4 or 7.7%); d) non-complicated midline prostatic cyst (n = 6 or 11.5%); and e) prostate cancer (n = 1 or 2%). Successful treatment was more frequent in patients with chronic inflammatory and/or obstructive abnormalities. CONCLUSION: E-MRI should be considered the modality of choice, for the evaluation of patients with persistent hemospermia. SN - 1677-5538 UR - https://www.unboundmedicine.com/medline/citation/18462515/Endorectal_magnetic_resonance_imaging_in_persistent_hemospermia_ L2 - http://www.brazjurol.com.br/march_april_2008/Prando_ing_171_179.htm DB - PRIME DP - Unbound Medicine ER -