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Prospective trial comparing transrectal ultrasonography and transurethral seminal vesiculoscopy for persistent hematospermia.
Int J Urol. 2012 May; 19(5):437-42.IJ

Abstract

OBJECTIVE

To compare the diagnostic yield of transrectal ultrasonography and transurethral seminal vesiculoscopy in patients with persistent hematospermia, and to determine the advantages and disadvantages of both modalities.

METHODS

We prospectively enrolled 106 patients with persistent hematospermia of mean duration 20.5 months. All patients were evaluated by both transrectal ultrasonography and transurethral seminal vesiculoscopy after excluding definite etiological lesions beyond the reproductive duct system. The diagnostic yield and other technical parameters of both modalities were compared.

RESULTS

Final diagnoses were made in 93 patients (87.7%), with transrectal ultrasonography and transurethral seminal vesiculoscopy showing overall diagnostic yields of 45.3% and 74.5%, respectively (P < 0.001). The diagnostic yield of combining transrectal ultrasonography and transurethral seminal vesiculoscopy was significantly higher than that of each modality alone (both P < 0.001). Of the 114 findings of diagnostic value, the most frequent was calculus (47.4%, n = 54), followed by obstruction/stricture (37.7%, n = 43), cyst (8.8%, n = 10), dysplasia (3.5%, n = 4), polyp (1.8%, n = 2) and benign mass (0.9%, n = 1). Transurethral seminal vesiculoscopy showed significant superiority in detecting calculi and obstruction/stricture. Hematospermia disappeared in 95.3% (101/106) of all patients and in 97.6% (83/85) of patients receiving transurethral seminal vesiculoscopy therapy during follow up. No major adverse effects occurred during and after examination.

CONCLUSIONS

The diagnostic yield of transurethral seminal vesiculoscopy for persistent hematospermia was significantly superior to that of transrectal ultrasonography, especially in lesions diagnosed with calculi and obstruction/stricture. Combining both modalities might provide extra benefits for patients with persistent hematospermia.

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Authors+Show Affiliations

Xing C
Shenzhen Futian Maternity and Infant Health Hospital, Shenzhen, China.
Zhou X
No affiliation info available
Xin L
No affiliation info available
Hu H
No affiliation info available
Li L
No affiliation info available
Fang J
No affiliation info available
Liu Z
No affiliation info available

MeSH

AdultAgedEjaculatory DuctsHemospermiaHumansMaleMiddle AgedProspective StudiesSeminal VesiclesUltrasonographyUreteroscopesYoung Adult

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

22221075

Citation

Xing, Changyong, et al. "Prospective Trial Comparing Transrectal Ultrasonography and Transurethral Seminal Vesiculoscopy for Persistent Hematospermia." International Journal of Urology : Official Journal of the Japanese Urological Association, vol. 19, no. 5, 2012, pp. 437-42.
Xing C, Zhou X, Xin L, et al. Prospective trial comparing transrectal ultrasonography and transurethral seminal vesiculoscopy for persistent hematospermia. Int J Urol. 2012;19(5):437-42.
Xing, C., Zhou, X., Xin, L., Hu, H., Li, L., Fang, J., & Liu, Z. (2012). Prospective trial comparing transrectal ultrasonography and transurethral seminal vesiculoscopy for persistent hematospermia. International Journal of Urology : Official Journal of the Japanese Urological Association, 19(5), 437-42. https://doi.org/10.1111/j.1442-2042.2011.02952.x
Xing C, et al. Prospective Trial Comparing Transrectal Ultrasonography and Transurethral Seminal Vesiculoscopy for Persistent Hematospermia. Int J Urol. 2012;19(5):437-42. PubMed PMID: 22221075.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective trial comparing transrectal ultrasonography and transurethral seminal vesiculoscopy for persistent hematospermia. AU - Xing,Changyong, AU - Zhou,Xiaomei, AU - Xin,Lei, AU - Hu,Hongzhen, AU - Li,Liping, AU - Fang,Jingchuan, AU - Liu,Zhiyong, Y1 - 2012/01/06/ PY - 2012/1/7/entrez PY - 2012/1/10/pubmed PY - 2013/4/23/medline SP - 437 EP - 42 JF - International journal of urology : official journal of the Japanese Urological Association JO - Int J Urol VL - 19 IS - 5 N2 - OBJECTIVE: To compare the diagnostic yield of transrectal ultrasonography and transurethral seminal vesiculoscopy in patients with persistent hematospermia, and to determine the advantages and disadvantages of both modalities. METHODS: We prospectively enrolled 106 patients with persistent hematospermia of mean duration 20.5 months. All patients were evaluated by both transrectal ultrasonography and transurethral seminal vesiculoscopy after excluding definite etiological lesions beyond the reproductive duct system. The diagnostic yield and other technical parameters of both modalities were compared. RESULTS: Final diagnoses were made in 93 patients (87.7%), with transrectal ultrasonography and transurethral seminal vesiculoscopy showing overall diagnostic yields of 45.3% and 74.5%, respectively (P < 0.001). The diagnostic yield of combining transrectal ultrasonography and transurethral seminal vesiculoscopy was significantly higher than that of each modality alone (both P < 0.001). Of the 114 findings of diagnostic value, the most frequent was calculus (47.4%, n = 54), followed by obstruction/stricture (37.7%, n = 43), cyst (8.8%, n = 10), dysplasia (3.5%, n = 4), polyp (1.8%, n = 2) and benign mass (0.9%, n = 1). Transurethral seminal vesiculoscopy showed significant superiority in detecting calculi and obstruction/stricture. Hematospermia disappeared in 95.3% (101/106) of all patients and in 97.6% (83/85) of patients receiving transurethral seminal vesiculoscopy therapy during follow up. No major adverse effects occurred during and after examination. CONCLUSIONS: The diagnostic yield of transurethral seminal vesiculoscopy for persistent hematospermia was significantly superior to that of transrectal ultrasonography, especially in lesions diagnosed with calculi and obstruction/stricture. Combining both modalities might provide extra benefits for patients with persistent hematospermia. SN - 1442-2042 UR - https://www.unboundmedicine.com/medline/citation/22221075/Prospective_trial_comparing_transrectal_ultrasonography_and_transurethral_seminal_vesiculoscopy_for_persistent_hematospermia_ L2 - https://doi.org/10.1111/j.1442-2042.2011.02952.x DB - PRIME DP - Unbound Medicine ER -