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Transurethral resection of ejaculatory duct combined with seminal vesiculoscopy for management of persistent or recurrent hemospermia in men with ejaculatory duct obstruction.
BMC Urol. 2020 Mar 23; 20(1):34.BU

Abstract

BACKGROUND

Persistent or recurrent haemospermia often occurs in individuals with ejaculatory duct obstruction (EDO). This study aimed to evaluate the efficacy and safety of transurethral resection of the ejaculatory duct (TURED) combined with seminal vesiculoscopy in treating persistent or recurrent haemospermia in men with EDO.

METHODS

From June 2014 to March 2018, 103 consecutive patients with EDO who underwent TURED combined with seminal vesiculoscopy for persistent or recurrent haemospermia at the Department of Urology of West China Hospital were enrolled into this retrospective study. The patients were evaluated mainly by detailed history-taking and performing semen analysis, transrectal ultrasonography, and magnetic resonance imaging.

RESULTS

Among the 103 patients, 79 (76.70%) had cysts of the lower male genitourinary tract; 63 (61.17%) had blood clots; and 32 (31.07%) had calculi in the seminal vesicle and/or prostatic utricle. The duration of postoperative follow-up was 12 months, and the symptoms of haemospermia disappeared in 96 (93.20%) patients. There was no significant difference in the semen PH and sperm count before and after surgery; however, the ejaculate volume and sperm motility significantly improved postoperatively. Except for two cases of acute urinary retention and one case of watery ejaculate after surgery, no severe postoperative complications, including epididymitis, urethral stricture, urinary incontinence, retrograde ejaculation, or rectal injury, were observed.

CONCLUSION

TURED combined with seminal vesiculoscopy is a suitable method for the diagnosis and treatment of persistent or recurrent haemospermia in men with EDO.

Links

Authors+Show Affiliations

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, 37, Guo Xue Road, Chengdu, 610041, Sichuan Province, China. dong_qiang@mcwcums.com.

MeSH

AdultAgedEjaculatory DuctsEndoscopyGenital Diseases, MaleHemospermiaHumansMaleMiddle AgedRecurrenceRetrospective StudiesSeminal VesiclesTreatment OutcomeUrethraUrologic Surgical Procedures, Male

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32293392

Citation

Ren, Zheng-Ju, et al. "Transurethral Resection of Ejaculatory Duct Combined With Seminal Vesiculoscopy for Management of Persistent or Recurrent Hemospermia in Men With Ejaculatory Duct Obstruction." BMC Urology, vol. 20, no. 1, 2020, p. 34.

Ren ZJ, Yang B, Lu DL, et al. Transurethral resection of ejaculatory duct combined with seminal vesiculoscopy for management of persistent or recurrent hemospermia in men with ejaculatory duct obstruction. BMC Urol. 2020;20(1):34.

Ren, Z. J., Yang, B., Lu, D. L., Liu, S. Z., Yang, L. C., Wang, L. C., Peng, Z. F., Liu, L. R., & Dong, Q. (2020). Transurethral resection of ejaculatory duct combined with seminal vesiculoscopy for management of persistent or recurrent hemospermia in men with ejaculatory duct obstruction. BMC Urology, 20(1), 34. https://doi.org/10.1186/s12894-020-00589-3

Ren ZJ, et al. Transurethral Resection of Ejaculatory Duct Combined With Seminal Vesiculoscopy for Management of Persistent or Recurrent Hemospermia in Men With Ejaculatory Duct Obstruction. BMC Urol. 2020 Mar 23;20(1):34. PubMed PMID: 32293392.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Transurethral resection of ejaculatory duct combined with seminal vesiculoscopy for management of persistent or recurrent hemospermia in men with ejaculatory duct obstruction. AU - Ren,Zheng-Ju, AU - Yang,Bo, AU - Lu,Dong-Liang, AU - Liu,Sheng-Zhuo, AU - Yang,Lu-Chen, AU - Wang,Lin Cun, AU - Peng,Zhu-Feng, AU - Liu,Liang-Ren, AU - Dong,Qiang, Y1 - 2020/03/23/ PY - 2019/05/17/received PY - 2020/02/17/accepted PY - 2020/4/16/entrez PY - 2020/4/16/pubmed PY - 2021/3/5/medline KW - Ejaculatory duct obstruction KW - Haemospermia KW - Seminal vesiculoscopy KW - TURED SP - 34 EP - 34 JF - BMC urology JO - BMC Urol VL - 20 IS - 1 N2 - BACKGROUND: Persistent or recurrent haemospermia often occurs in individuals with ejaculatory duct obstruction (EDO). This study aimed to evaluate the efficacy and safety of transurethral resection of the ejaculatory duct (TURED) combined with seminal vesiculoscopy in treating persistent or recurrent haemospermia in men with EDO. METHODS: From June 2014 to March 2018, 103 consecutive patients with EDO who underwent TURED combined with seminal vesiculoscopy for persistent or recurrent haemospermia at the Department of Urology of West China Hospital were enrolled into this retrospective study. The patients were evaluated mainly by detailed history-taking and performing semen analysis, transrectal ultrasonography, and magnetic resonance imaging. RESULTS: Among the 103 patients, 79 (76.70%) had cysts of the lower male genitourinary tract; 63 (61.17%) had blood clots; and 32 (31.07%) had calculi in the seminal vesicle and/or prostatic utricle. The duration of postoperative follow-up was 12 months, and the symptoms of haemospermia disappeared in 96 (93.20%) patients. There was no significant difference in the semen PH and sperm count before and after surgery; however, the ejaculate volume and sperm motility significantly improved postoperatively. Except for two cases of acute urinary retention and one case of watery ejaculate after surgery, no severe postoperative complications, including epididymitis, urethral stricture, urinary incontinence, retrograde ejaculation, or rectal injury, were observed. CONCLUSION: TURED combined with seminal vesiculoscopy is a suitable method for the diagnosis and treatment of persistent or recurrent haemospermia in men with EDO. SN - 1471-2490 UR - https://www.unboundmedicine.com/medline/citation/32293392/Transurethral_resection_of_ejaculatory_duct_combined_with_seminal_vesiculoscopy_for_management_of_persistent_or_recurrent_hemospermia_in_men_with_ejaculatory_duct_obstruction_ DB - PRIME DP - Unbound Medicine ER -