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[Seminal vesiculoscopy in the treatment of refractory hemospermia and ejaculatory duct obstruction].
Zhonghua Nan Ke Xue. 2016 07; 22(7):630-634.ZN

Abstract

Objective

To summarize the experience in the diagnosis and treatment of refractory hematospermia and ejaculatory duct obstruction by seminal vesiculoscopy.

METHODS

We retrospectively analyzed the clinical data about 42 cases of refractory hematospermia and 6 cases of ejaculatory duct obstruction with azoospermia. We investigated the diagnosis, treatment, and prognosis of the diseases.

RESULTS

All the patients underwent pelvic MRI and seminal vesiculoscopy. MRI for the 42 refractory hematospermia patients showed that 21 (50.0%) had cystic dilatation in the uni- or bilateral seminal vesicles, 25 (59.5%) had abnormal internal signal intensity in the uni- or bilateral seminal vesicles, 12 (28.6%) had both the problems above, and 4 (9.52%) had no obvious abnormality in the seminal vesicle area. The bilateral seminal vesicles were <1 cm in width in 3 of the 6 cases of ejaculatory duct obstruction, and obviously enlarged in the other 3, but without abnormal internal signals. No recurrence was found during the 3-36 months follow-up.

CONCLUSIONS

The history and physical examination play important roles in the diagnosis of refractory hemospermia, and MRI is more valuable than TRUS in the diagnosis of seminal vesicle diseases. Seminal vesiculoscopy is an effective option for the management of persistent hematospermia and ejaculatory duct obstruction.

Authors+Show Affiliations

Department of Urology, The Second Affiliated Hospital of Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi 710004, China.Department of Urology, The Second Affiliated Hospital of Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi 710004, China.Department of Urology, The Second Affiliated Hospital of Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi 710004, China.Department of Urology, The Second Affiliated Hospital of Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi 710004, China.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

28965382

Citation

Zhao, Jun, et al. "[Seminal Vesiculoscopy in the Treatment of Refractory Hemospermia and Ejaculatory Duct Obstruction]." Zhonghua Nan Ke Xue = National Journal of Andrology, vol. 22, no. 7, 2016, pp. 630-634.
Zhao J, Zhai XQ, Li HC, et al. [Seminal vesiculoscopy in the treatment of refractory hemospermia and ejaculatory duct obstruction]. Zhonghua Nan Ke Xue. 2016;22(7):630-634.
Zhao, J., Zhai, X. Q., Li, H. C., & Chong, T. (2016). [Seminal vesiculoscopy in the treatment of refractory hemospermia and ejaculatory duct obstruction]. Zhonghua Nan Ke Xue = National Journal of Andrology, 22(7), 630-634.
Zhao J, et al. [Seminal Vesiculoscopy in the Treatment of Refractory Hemospermia and Ejaculatory Duct Obstruction]. Zhonghua Nan Ke Xue. 2016;22(7):630-634. PubMed PMID: 28965382.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Seminal vesiculoscopy in the treatment of refractory hemospermia and ejaculatory duct obstruction]. AU - Zhao,Jun, AU - Zhai,Xiao-Qiang, AU - Li,He-Cheng, AU - Chong,Tie, PY - 2017/10/2/entrez PY - 2016/6/1/pubmed PY - 2017/10/6/medline KW - MRI KW - ejaculatory duct obstruction KW - hematospermia KW - seminal vesiculoscopy SP - 630 EP - 634 JF - Zhonghua nan ke xue = National journal of andrology JO - Zhonghua Nan Ke Xue VL - 22 IS - 7 N2 - Objective: To summarize the experience in the diagnosis and treatment of refractory hematospermia and ejaculatory duct obstruction by seminal vesiculoscopy. METHODS: We retrospectively analyzed the clinical data about 42 cases of refractory hematospermia and 6 cases of ejaculatory duct obstruction with azoospermia. We investigated the diagnosis, treatment, and prognosis of the diseases. RESULTS: All the patients underwent pelvic MRI and seminal vesiculoscopy. MRI for the 42 refractory hematospermia patients showed that 21 (50.0%) had cystic dilatation in the uni- or bilateral seminal vesicles, 25 (59.5%) had abnormal internal signal intensity in the uni- or bilateral seminal vesicles, 12 (28.6%) had both the problems above, and 4 (9.52%) had no obvious abnormality in the seminal vesicle area. The bilateral seminal vesicles were <1 cm in width in 3 of the 6 cases of ejaculatory duct obstruction, and obviously enlarged in the other 3, but without abnormal internal signals. No recurrence was found during the 3-36 months follow-up. CONCLUSIONS: The history and physical examination play important roles in the diagnosis of refractory hemospermia, and MRI is more valuable than TRUS in the diagnosis of seminal vesicle diseases. Seminal vesiculoscopy is an effective option for the management of persistent hematospermia and ejaculatory duct obstruction. SN - 1009-3591 UR - https://www.unboundmedicine.com/medline/citation/28965382/[Seminal_vesiculoscopy_in_the_treatment_of_refractory_hemospermia_and_ejaculatory_duct_obstruction]_ DB - PRIME DP - Unbound Medicine ER -