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Transurethral seminal vesiculoscopy in the diagnosis and treatment of seminal vesicle stones.
Chin Med J (Engl). 2012 Apr; 125(8):1475-8.CM

Abstract

BACKGROUND

Seminal vesicle stones are one of the main causes of persistent hemospermia. Treatment requires removal of the stone, generally through open vesiculectomy. The purpose of this study was to apply a transurethral seminal vesiculoscopy for diagnosis and treatment of the seminal vesicle stones with an ureteroscope. We assessed whether this transurethral endoscopic technique is feasible and effective in the diagnosis and treatment of the seminal vesicle stones with intractable hemospermia.

METHODS

Totally 12 patients with intractable hemospermia underwent transurethral seminal vesiculoscopy through the distal seminal tracts using a 7.3-French rigid ureteroscope. Age of patients ranged from 25 to 57 years (mean age (43.7 ± 10.5) years). The patients' symptoms ranged in duration from 4 to 180 months (mean duration (47.8 ± 45.3) months). All patients underwent transrectal ultrasonography, pelvic computed tomography or magnetic resonance imaging before the operation. Positive imaging findings were observed in patients with seminal vesicle stones and dilated seminal vesicle size. A 7.3-French rigid ureteroscope entered the lumen of the verumontanum, and then the seminal vesicle under direct vision. Seminal vesicle stones were found unilaterally in 11 cases and bilaterally in one case.

RESULTS

All 12 patients successfully underwent transurethral seminal vesiculoscopy. The seminal vesicle interior with single or multiple yellowish stones ranging from 1 to 5 mm in diameter was clearly visible. All the stones were easily fragmented and endoscopically removed using a grasper. The operative time was 30 to 120 minutes (mean (49 ± 22) minutes). The mean follow-up period was (6.9 ± 3.0) months (range 3-13 months). Symptoms of hemospermia disappeared after one month in 10 patients and after three months in two patients. Three patients with painful ejaculation could completely be relieved postoperation. There was also improvement in one patient with erectile dysfunction. There were no postoperative complications.

CONCLUSIONS

Transurethral seminal vesiculoscopy is safe and effective in the diagnosis and treatment of seminal vesicle stones. This endoscopic technique can be performed with minimal complications.

Authors+Show Affiliations

Department of Urology, Clinical Division of Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China. songtao6669@163.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22613656

Citation

Song, Tao, et al. "Transurethral Seminal Vesiculoscopy in the Diagnosis and Treatment of Seminal Vesicle Stones." Chinese Medical Journal, vol. 125, no. 8, 2012, pp. 1475-8.
Song T, Zhang X, Zhang L, et al. Transurethral seminal vesiculoscopy in the diagnosis and treatment of seminal vesicle stones. Chin Med J (Engl). 2012;125(8):1475-8.
Song, T., Zhang, X., Zhang, L., Zhang, F., & Fu, W. J. (2012). Transurethral seminal vesiculoscopy in the diagnosis and treatment of seminal vesicle stones. Chinese Medical Journal, 125(8), 1475-8.
Song T, et al. Transurethral Seminal Vesiculoscopy in the Diagnosis and Treatment of Seminal Vesicle Stones. Chin Med J (Engl). 2012;125(8):1475-8. PubMed PMID: 22613656.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transurethral seminal vesiculoscopy in the diagnosis and treatment of seminal vesicle stones. AU - Song,Tao, AU - Zhang,Xu, AU - Zhang,Lei, AU - Zhang,Fan, AU - Fu,Wei-jun, PY - 2012/5/23/entrez PY - 2012/5/23/pubmed PY - 2012/9/19/medline SP - 1475 EP - 8 JF - Chinese medical journal JO - Chin Med J (Engl) VL - 125 IS - 8 N2 - BACKGROUND: Seminal vesicle stones are one of the main causes of persistent hemospermia. Treatment requires removal of the stone, generally through open vesiculectomy. The purpose of this study was to apply a transurethral seminal vesiculoscopy for diagnosis and treatment of the seminal vesicle stones with an ureteroscope. We assessed whether this transurethral endoscopic technique is feasible and effective in the diagnosis and treatment of the seminal vesicle stones with intractable hemospermia. METHODS: Totally 12 patients with intractable hemospermia underwent transurethral seminal vesiculoscopy through the distal seminal tracts using a 7.3-French rigid ureteroscope. Age of patients ranged from 25 to 57 years (mean age (43.7 ± 10.5) years). The patients' symptoms ranged in duration from 4 to 180 months (mean duration (47.8 ± 45.3) months). All patients underwent transrectal ultrasonography, pelvic computed tomography or magnetic resonance imaging before the operation. Positive imaging findings were observed in patients with seminal vesicle stones and dilated seminal vesicle size. A 7.3-French rigid ureteroscope entered the lumen of the verumontanum, and then the seminal vesicle under direct vision. Seminal vesicle stones were found unilaterally in 11 cases and bilaterally in one case. RESULTS: All 12 patients successfully underwent transurethral seminal vesiculoscopy. The seminal vesicle interior with single or multiple yellowish stones ranging from 1 to 5 mm in diameter was clearly visible. All the stones were easily fragmented and endoscopically removed using a grasper. The operative time was 30 to 120 minutes (mean (49 ± 22) minutes). The mean follow-up period was (6.9 ± 3.0) months (range 3-13 months). Symptoms of hemospermia disappeared after one month in 10 patients and after three months in two patients. Three patients with painful ejaculation could completely be relieved postoperation. There was also improvement in one patient with erectile dysfunction. There were no postoperative complications. CONCLUSIONS: Transurethral seminal vesiculoscopy is safe and effective in the diagnosis and treatment of seminal vesicle stones. This endoscopic technique can be performed with minimal complications. SN - 2542-5641 UR - https://www.unboundmedicine.com/medline/citation/22613656/Transurethral_seminal_vesiculoscopy_in_the_diagnosis_and_treatment_of_seminal_vesicle_stones_ L2 - https://Insights.ovid.com/pubmed?pmid=22613656 DB - PRIME DP - Unbound Medicine ER -