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Transutricular seminal vesiculoscopy in hematospermia: technical considerations and outcomes.
Urology. 2009 Jun; 73(6):1377-82.U

Abstract

OBJECTIVES

Several methods of endoscopic management of seminal vesicular disease have been reported. We describe our current technique of transutricular seminal vesiculoscopy and review the outcomes in diagnosing and treating disorders of the seminal vesicles.

METHODS

From November 1995 to April 2006, 70 patients with hematospermia underwent transutricular seminal vesiculoscopy. All patients underwent either transrectal ultrasonography or magnetic resonance imaging with an endorectal coil. When definite abnormalities were seen in the imaging studies and did not improve with medication within a period >3 months, transutricular seminal vesiculoscopy was performed using a 6F or 9F rigid ureteroscope.

RESULTS

In our 70 patients, the mean age was 46.5 years (range 28-68). The mean follow-up period was 12.3 months (range 1-48). Hematospermia subsided in 55 patients (78.6%) who did not respond to medical therapy with endoscopic fenestration alone. However, hematospermia recurred in 7 patients (10%). Hemorrhage was found in the seminal vesicles and in the ejaculatory ducts in 48 (68.6%) and 5 (7.1%) patients, respectively.

CONCLUSIONS

Transutricular seminal vesiculoscopy can be performed easily using conventional endoscopic equipment. This technique enables useful diagnostic and therapeutic approaches to disorders of the seminal vesicles.

Authors+Show Affiliations

Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19375781

Citation

Han, Woong Kyu, et al. "Transutricular Seminal Vesiculoscopy in Hematospermia: Technical Considerations and Outcomes." Urology, vol. 73, no. 6, 2009, pp. 1377-82.
Han WK, Lee SR, Rha KH, et al. Transutricular seminal vesiculoscopy in hematospermia: technical considerations and outcomes. Urology. 2009;73(6):1377-82.
Han, W. K., Lee, S. R., Rha, K. H., Kim, J. H., & Yang, S. C. (2009). Transutricular seminal vesiculoscopy in hematospermia: technical considerations and outcomes. Urology, 73(6), 1377-82. https://doi.org/10.1016/j.urology.2008.07.038
Han WK, et al. Transutricular Seminal Vesiculoscopy in Hematospermia: Technical Considerations and Outcomes. Urology. 2009;73(6):1377-82. PubMed PMID: 19375781.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transutricular seminal vesiculoscopy in hematospermia: technical considerations and outcomes. AU - Han,Woong Kyu, AU - Lee,Seung Ruyl, AU - Rha,Koon Ho, AU - Kim,Jang Hwan, AU - Yang,Seung Choul, Y1 - 2009/04/18/ PY - 2007/11/18/received PY - 2008/07/04/revised PY - 2008/07/24/accepted PY - 2009/4/21/entrez PY - 2009/4/21/pubmed PY - 2009/7/2/medline SP - 1377 EP - 82 JF - Urology JO - Urology VL - 73 IS - 6 N2 - OBJECTIVES: Several methods of endoscopic management of seminal vesicular disease have been reported. We describe our current technique of transutricular seminal vesiculoscopy and review the outcomes in diagnosing and treating disorders of the seminal vesicles. METHODS: From November 1995 to April 2006, 70 patients with hematospermia underwent transutricular seminal vesiculoscopy. All patients underwent either transrectal ultrasonography or magnetic resonance imaging with an endorectal coil. When definite abnormalities were seen in the imaging studies and did not improve with medication within a period >3 months, transutricular seminal vesiculoscopy was performed using a 6F or 9F rigid ureteroscope. RESULTS: In our 70 patients, the mean age was 46.5 years (range 28-68). The mean follow-up period was 12.3 months (range 1-48). Hematospermia subsided in 55 patients (78.6%) who did not respond to medical therapy with endoscopic fenestration alone. However, hematospermia recurred in 7 patients (10%). Hemorrhage was found in the seminal vesicles and in the ejaculatory ducts in 48 (68.6%) and 5 (7.1%) patients, respectively. CONCLUSIONS: Transutricular seminal vesiculoscopy can be performed easily using conventional endoscopic equipment. This technique enables useful diagnostic and therapeutic approaches to disorders of the seminal vesicles. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/19375781/Transutricular_seminal_vesiculoscopy_in_hematospermia:_technical_considerations_and_outcomes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(08)01367-8 DB - PRIME DP - Unbound Medicine ER -