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[Transurethral seminal vesiculoscopy for the treatment of vesiculitis with hemospermia:A report of 64 cases].
Zhonghua Nan Ke Xue. 2016 Apr; 22(4):335-8.ZN

Abstract

Objective

To explore the treatment of vesiculitis with hemospermia by transurethral seminal vesiculoscopy.

Methods

We treated 64 cases of vesiculitis with hemospermia by transurethral seminal vesiculoscopy. During the operation,we removed the stones and inflammatory substances and collected seminal vesicle fluid to be cultured for bacteria,ureaplasma urealyticum(UU),chlamydia trachomatis(CT),and mycoplasma hominis(MH),followed by infusion of levofloxacin at 0. 3 g/100 ml into the seminal vesicle. Regular follow-up was conducted post-operatively.

Results

All the operations were successfully accomplished, the operation time averaging(40 ± 15) min(25- 50 min). The ejaculatory duct opening was observed on the verumontanum surface in the posterior urethra in 2 cases, abnormal passages found in the prostatic utricle in 8 cases, and seminal vesicle fenestration from the prostatic utricle conducted in the other 54 cases(32 by seminal vesiculoscopy and 22 with holmium laser). Stones were seen in the prostatic utricle in 5 cases, in the seminal vesicle in 6 cases, and in both the prostatic utricle and seminal vesicle in 2 cases. Culture of the seminal vesicle fluid showed the acinetobacter to be positive in 1 case and UU, CT, and MH to be negative. At 3 months after surgery, hemospermia was cured in 52 cases, relieved in 8,and unimproved in 4.

Conclusion

Seminal vesicle fenestration drainage by transurethral seminal vesiculoscopy for the treatment of vesiculitis with hemospermia has the advantages of short operation time, high effectiveness and no obvious complications and can also be employed for the examination of the seminal vesicle as well as removal of stones and inflammatory substances.

Authors

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Pub Type(s)

Journal Article

Language

chi

PubMed ID

30088705

Citation

Wang, Rui, et al. "[Transurethral Seminal Vesiculoscopy for the Treatment of Vesiculitis With hemospermia:A Report of 64 Cases]." Zhonghua Nan Ke Xue = National Journal of Andrology, vol. 22, no. 4, 2016, pp. 335-8.
Wang R, Zhang WX, Zhang TB, et al. [Transurethral seminal vesiculoscopy for the treatment of vesiculitis with hemospermia:A report of 64 cases]. Zhonghua Nan Ke Xue. 2016;22(4):335-8.
Wang, R., Zhang, W. X., Zhang, T. B., Li, R., Wang, C. L., Song, X. H., Yang, Y. L., & Li, X. Y. (2016). [Transurethral seminal vesiculoscopy for the treatment of vesiculitis with hemospermia:A report of 64 cases]. Zhonghua Nan Ke Xue = National Journal of Andrology, 22(4), 335-8.
Wang R, et al. [Transurethral Seminal Vesiculoscopy for the Treatment of Vesiculitis With hemospermia:A Report of 64 Cases]. Zhonghua Nan Ke Xue. 2016;22(4):335-8. PubMed PMID: 30088705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Transurethral seminal vesiculoscopy for the treatment of vesiculitis with hemospermia:A report of 64 cases]. AU - Wang,Rui, AU - Zhang,Wei-xing, AU - Zhang,Tian-biao, AU - Li,Rui, AU - Wang,Chao-liang, AU - Song,Xin-hao, AU - Yang,Yan-lei, AU - Li,Xue-yin, PY - 2018/8/9/entrez PY - 2016/4/1/pubmed PY - 2018/10/20/medline SP - 335 EP - 8 JF - Zhonghua nan ke xue = National journal of andrology JO - Zhonghua Nan Ke Xue VL - 22 IS - 4 N2 - Objective: To explore the treatment of vesiculitis with hemospermia by transurethral seminal vesiculoscopy. Methods: We treated 64 cases of vesiculitis with hemospermia by transurethral seminal vesiculoscopy. During the operation,we removed the stones and inflammatory substances and collected seminal vesicle fluid to be cultured for bacteria,ureaplasma urealyticum(UU),chlamydia trachomatis(CT),and mycoplasma hominis(MH),followed by infusion of levofloxacin at 0. 3 g/100 ml into the seminal vesicle. Regular follow-up was conducted post-operatively. Results: All the operations were successfully accomplished, the operation time averaging(40 ± 15) min(25- 50 min). The ejaculatory duct opening was observed on the verumontanum surface in the posterior urethra in 2 cases, abnormal passages found in the prostatic utricle in 8 cases, and seminal vesicle fenestration from the prostatic utricle conducted in the other 54 cases(32 by seminal vesiculoscopy and 22 with holmium laser). Stones were seen in the prostatic utricle in 5 cases, in the seminal vesicle in 6 cases, and in both the prostatic utricle and seminal vesicle in 2 cases. Culture of the seminal vesicle fluid showed the acinetobacter to be positive in 1 case and UU, CT, and MH to be negative. At 3 months after surgery, hemospermia was cured in 52 cases, relieved in 8,and unimproved in 4. Conclusion: Seminal vesicle fenestration drainage by transurethral seminal vesiculoscopy for the treatment of vesiculitis with hemospermia has the advantages of short operation time, high effectiveness and no obvious complications and can also be employed for the examination of the seminal vesicle as well as removal of stones and inflammatory substances. SN - 1009-3591 UR - https://www.unboundmedicine.com/medline/citation/30088705/[Transurethral_seminal_vesiculoscopy_for_the_treatment_of_vesiculitis_with_hemospermia:A_report_of_64_cases]_ DB - PRIME DP - Unbound Medicine ER -