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[Real-time transrectal ultrasonography in seminal vesiculoscopy].
Zhonghua Nan Ke Xue. 2017 Apr; 23(4):337-342.ZN

Abstract

Objective

To compare three different pathways for transurethral seminal vesiculoscopy (SVS) and investigate the reliability and efficiency of transrectal ultrasonography (TRUS)-guided SVS (TRUS-SVS).

METHODS

We retrospectively analyzed 90 cases of seminal vesiculoscopy conducted directly through the ejaculatory duct or prostatic utricle or under the guide of TRUS. We compared the success rate and complications among the three approaches.

RESULTS

Operations were successfully performed in 87 (96.67%) of the 90 cases, 30 through the ejaculatory duct, 37 via the prostatic utricle, and 20 under the guide of TRUS, the operation time ranging from 25 to 75 minutes. Sperm was detected from the seminal vesicle fluid in (92.06%) of the azoospermia patients (58/63) during the surgery and in 77.78% of them (49/63) in semen analysis at 1 week postoperatively. Fifteen hematospermia and 12 spermatocystitis patients were cured. Postoperative follow-up found 20 cases of water-like semen and 3 cases of orchiepididymitis, but no such complications as retrograde ejaculation, incontinence, or rectourethral fistula.

CONCLUSIONS

Transejaculatory duct and transprostatic utricle pathways are two common approaches to SVS, while TRUS-SVS may achieve a higher success rate and avoid injury of both the prostate and the rectum.

Authors+Show Affiliations

Department of Urology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.Department of Urology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.Department of Urology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.Department of Urology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.Department of Urology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.Department of Urology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.

Pub Type(s)

Comparative Study
Journal Article

Language

chi

PubMed ID

29714419

Citation

Shao, Guang-Feng, et al. "[Real-time Transrectal Ultrasonography in Seminal Vesiculoscopy]." Zhonghua Nan Ke Xue = National Journal of Andrology, vol. 23, no. 4, 2017, pp. 337-342.
Shao GF, Ma TJ, Liu YQ, et al. [Real-time transrectal ultrasonography in seminal vesiculoscopy]. Zhonghua Nan Ke Xue. 2017;23(4):337-342.
Shao, G. F., Ma, T. J., Liu, Y. Q., Li, J. J., Wang, W. Z., & Yuan, M. Z. (2017). [Real-time transrectal ultrasonography in seminal vesiculoscopy]. Zhonghua Nan Ke Xue = National Journal of Andrology, 23(4), 337-342.
Shao GF, et al. [Real-time Transrectal Ultrasonography in Seminal Vesiculoscopy]. Zhonghua Nan Ke Xue. 2017;23(4):337-342. PubMed PMID: 29714419.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Real-time transrectal ultrasonography in seminal vesiculoscopy]. AU - Shao,Guang-Feng, AU - Ma,Tian-Jia, AU - Liu,Yu-Qiang, AU - Li,Jun-Jia, AU - Wang,Wen-Zhen, AU - Yuan,Ming-Zhen, PY - 2018/5/2/entrez PY - 2018/5/2/pubmed PY - 2018/9/15/medline KW - KW - pathways of endoscopy KW - transrectal ultrasonography KW - opening of the ejaculatory duct KW - seminal vesiculoscopy SP - 337 EP - 342 JF - Zhonghua nan ke xue = National journal of andrology JO - Zhonghua Nan Ke Xue VL - 23 IS - 4 N2 - Objective: To compare three different pathways for transurethral seminal vesiculoscopy (SVS) and investigate the reliability and efficiency of transrectal ultrasonography (TRUS)-guided SVS (TRUS-SVS). METHODS: We retrospectively analyzed 90 cases of seminal vesiculoscopy conducted directly through the ejaculatory duct or prostatic utricle or under the guide of TRUS. We compared the success rate and complications among the three approaches. RESULTS: Operations were successfully performed in 87 (96.67%) of the 90 cases, 30 through the ejaculatory duct, 37 via the prostatic utricle, and 20 under the guide of TRUS, the operation time ranging from 25 to 75 minutes. Sperm was detected from the seminal vesicle fluid in (92.06%) of the azoospermia patients (58/63) during the surgery and in 77.78% of them (49/63) in semen analysis at 1 week postoperatively. Fifteen hematospermia and 12 spermatocystitis patients were cured. Postoperative follow-up found 20 cases of water-like semen and 3 cases of orchiepididymitis, but no such complications as retrograde ejaculation, incontinence, or rectourethral fistula. CONCLUSIONS: Transejaculatory duct and transprostatic utricle pathways are two common approaches to SVS, while TRUS-SVS may achieve a higher success rate and avoid injury of both the prostate and the rectum. SN - 1009-3591 UR - https://www.unboundmedicine.com/medline/citation/29714419/[Real_time_transrectal_ultrasonography_in_seminal_vesiculoscopy]_ L2 - https://medlineplus.gov/ultrasound.html DB - PRIME DP - Unbound Medicine ER -