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[F4.8 visual miniature nephroscope for the diagnosis and treatment of hematospermia].
Zhonghua Nan Ke Xue. 2018 Jun; 24(6):525-528.ZN

Abstract

Objective

To explore the practicability and safety of the F4.8 visual miniature nephroscope in the diagnosis and treatment of hematospermia.

METHODS

This study included 12 cases of refractory hematospermia accompanied by perineal or lower abdominal pain and discomfort. All the patients failed to respond to two months of systemic anti-inflammatory medication and local physiotherapy. Seminal vesicle tumor and tuberculosis were excluded preoperatively by rectal seminal vesicle ultrasonography, MRI or CT. Under epidural anesthesia, microscopic examination was performed with the F4.8 miniature nephroscope through the urethra and ejaculatory duct orifice into the seminal vesicle cavity, the blood clots washed out with normal saline, the seminal vesicle stones extracted by holmium laser lithotripsy and with the reticular basket, the seminal vesicle polyps removed by holmium laser ablation and vaporization, and the seminal vesicle cavity rinsed with diluted iodophor after operation.

RESULTS

Of the 10 patients subjected to bilateral seminal vesiculoscopy, 3 with unilateral and 2 with bilateral seminal vesicle stones were treated by holmium laser lithotripsy, saline flushing and reticular-basket removal, 2 with seminal vesicle polyps by holmium laser ablation and vaporization, and the other 3 with blood clots in the seminal vesicle cavity by saline flushing for complete clearance. The 2 patients subjected to unilateral seminal vesiculoscopy both received flushing of the seminal vesicle cavity for clearance of the blood clots. The operations lasted 10-55 (25 ± 6) minutes. There were no such intra- or post-operative complications as rectal injury, peripheral organ injury, and external urethral sphincter injury. The urethral catheter was removed at 24 hours, anti-infection medication withdrawn at 72 hours, and regular sex achieved at 2 weeks postoperatively. The patients were followed up for 6-20 (7 ± 2.3) months, during which hematospermia and related symptoms disappeared in 10 cases at 3 months and recurrence was observed in the other 2 at 4 months after surgery but improved after antibiotic medication.

CONCLUSIONS

The F4.8 visual miniature nephroscope can be applied to the examination of the seminal vesicle cavity and treatment of seminal vesicle stones and polyps, with the advantages of minimal invasiveness, safety and reliability.

Authors+Show Affiliations

Department of Urology, Baoding First Central Hospital, Baoding, Hebei 071000, China.Department of Urology, The Affiliated Hospital of Hebei University, Baoding, Hebei 071000, China.Department of Urology, The Affiliated Hospital of Hebei University, Baoding, Hebei 071000, China.Department of Urology, The Affiliated Hospital of Hebei University, Baoding, Hebei 071000, China.Department of Urology, The Affiliated Hospital of Hebei University, Baoding, Hebei 071000, China.Department of Urology, The Affiliated Hospital of Hebei University, Baoding, Hebei 071000, China.Department of Urology, The Affiliated Hospital of Hebei University, Baoding, Hebei 071000, China.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

30173458

Citation

Zhou, Ke-Yi, et al. "[F4.8 Visual Miniature Nephroscope for the Diagnosis and Treatment of Hematospermia]." Zhonghua Nan Ke Xue = National Journal of Andrology, vol. 24, no. 6, 2018, pp. 525-528.
Zhou KY, Yang WZ, Cui ZY, et al. [F4.8 visual miniature nephroscope for the diagnosis and treatment of hematospermia]. Zhonghua Nan Ke Xue. 2018;24(6):525-528.
Zhou, K. Y., Yang, W. Z., Cui, Z. Y., Wei, R. J., Zhao, C. L., Ma, T., & An, F. (2018). [F4.8 visual miniature nephroscope for the diagnosis and treatment of hematospermia]. Zhonghua Nan Ke Xue = National Journal of Andrology, 24(6), 525-528.
Zhou KY, et al. [F4.8 Visual Miniature Nephroscope for the Diagnosis and Treatment of Hematospermia]. Zhonghua Nan Ke Xue. 2018;24(6):525-528. PubMed PMID: 30173458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [F4.8 visual miniature nephroscope for the diagnosis and treatment of hematospermia]. AU - Zhou,Ke-Yi, AU - Yang,Wen-Zeng, AU - Cui,Zhen-Yu, AU - Wei,Ruo-Jing, AU - Zhao,Chun-Li, AU - Ma,Tao, AU - An,Feng, PY - 2018/9/3/entrez PY - 2018/9/3/pubmed PY - 2018/12/13/medline KW - hematospermia KW - visual miniature nephroscope SP - 525 EP - 528 JF - Zhonghua nan ke xue = National journal of andrology JO - Zhonghua Nan Ke Xue VL - 24 IS - 6 N2 - Objective: To explore the practicability and safety of the F4.8 visual miniature nephroscope in the diagnosis and treatment of hematospermia. METHODS: This study included 12 cases of refractory hematospermia accompanied by perineal or lower abdominal pain and discomfort. All the patients failed to respond to two months of systemic anti-inflammatory medication and local physiotherapy. Seminal vesicle tumor and tuberculosis were excluded preoperatively by rectal seminal vesicle ultrasonography, MRI or CT. Under epidural anesthesia, microscopic examination was performed with the F4.8 miniature nephroscope through the urethra and ejaculatory duct orifice into the seminal vesicle cavity, the blood clots washed out with normal saline, the seminal vesicle stones extracted by holmium laser lithotripsy and with the reticular basket, the seminal vesicle polyps removed by holmium laser ablation and vaporization, and the seminal vesicle cavity rinsed with diluted iodophor after operation. RESULTS: Of the 10 patients subjected to bilateral seminal vesiculoscopy, 3 with unilateral and 2 with bilateral seminal vesicle stones were treated by holmium laser lithotripsy, saline flushing and reticular-basket removal, 2 with seminal vesicle polyps by holmium laser ablation and vaporization, and the other 3 with blood clots in the seminal vesicle cavity by saline flushing for complete clearance. The 2 patients subjected to unilateral seminal vesiculoscopy both received flushing of the seminal vesicle cavity for clearance of the blood clots. The operations lasted 10-55 (25 ± 6) minutes. There were no such intra- or post-operative complications as rectal injury, peripheral organ injury, and external urethral sphincter injury. The urethral catheter was removed at 24 hours, anti-infection medication withdrawn at 72 hours, and regular sex achieved at 2 weeks postoperatively. The patients were followed up for 6-20 (7 ± 2.3) months, during which hematospermia and related symptoms disappeared in 10 cases at 3 months and recurrence was observed in the other 2 at 4 months after surgery but improved after antibiotic medication. CONCLUSIONS: The F4.8 visual miniature nephroscope can be applied to the examination of the seminal vesicle cavity and treatment of seminal vesicle stones and polyps, with the advantages of minimal invasiveness, safety and reliability. SN - 1009-3591 UR - https://www.unboundmedicine.com/medline/citation/30173458/[F4_8_visual_miniature_nephroscope_for_the_diagnosis_and_treatment_of_hematospermia]_ DB - PRIME DP - Unbound Medicine ER -