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Magnetic resonance imaging in hemospermia.
J Urol. 1997 Jan; 157(1):258-62.JU

Abstract

PURPOSE

We evaluated the prostate and seminal tract with magnetic resonance imaging (MRI) in patients with hemospermia.

MATERIALS AND METHODS

To evaluate the prostate and seminal tract in 17 patients 20 to 59 years old (mean age 44) with hemospermia we performed transrectal ultrasound and MRI using an endorectal surface coil with a 1.5 tesla unit. Mean duration of hemospermia was 32 months (1 week to 16 years).

RESULTS

Abnormalities were noted on transrectal ultrasound in 15 of the 17 patients (88%) and on MRI in all. Of the 12 cases of hemorrhage 10 involved the seminal vesicle and 2 involved the ejaculatory duct. There were 12 cystic lesions, including 7 in the müllerian and 5 in the ejaculatory ducts. Of 19 cases calculi were detected in the prostate in 5, seminal vesicle in 8, and ejaculatory and müllerian duct cysts in 4 and 2, respectively. There was 1 case of prostatic atrophy and 1 wolffian duct anomaly associated with an ejaculatory duct cyst, ectopic ureterocele and absence of the left kidney.

CONCLUSIONS

MRI with an endorectal surface coil is a powerful modality for evaluating the seminal tracts of patients with hemospermia. It can be performed clinically when transrectal ultrasonography is not satisfactory.

Authors+Show Affiliations

Department of Urology, Seoul Paik Hospital, Inje University, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8976266

Citation

Cho, I R., et al. "Magnetic Resonance Imaging in Hemospermia." The Journal of Urology, vol. 157, no. 1, 1997, pp. 258-62.
Cho IR, Lee MS, Rha KH, et al. Magnetic resonance imaging in hemospermia. J Urol. 1997;157(1):258-62.
Cho, I. R., Lee, M. S., Rha, K. H., Hong, S. J., Park, S. S., & Kim, M. J. (1997). Magnetic resonance imaging in hemospermia. The Journal of Urology, 157(1), 258-62.
Cho IR, et al. Magnetic Resonance Imaging in Hemospermia. J Urol. 1997;157(1):258-62. PubMed PMID: 8976266.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Magnetic resonance imaging in hemospermia. AU - Cho,I R, AU - Lee,M S, AU - Rha,K H, AU - Hong,S J, AU - Park,S S, AU - Kim,M J, PY - 1997/1/1/pubmed PY - 1997/1/1/medline PY - 1997/1/1/entrez SP - 258 EP - 62 JF - The Journal of urology JO - J Urol VL - 157 IS - 1 N2 - PURPOSE: We evaluated the prostate and seminal tract with magnetic resonance imaging (MRI) in patients with hemospermia. MATERIALS AND METHODS: To evaluate the prostate and seminal tract in 17 patients 20 to 59 years old (mean age 44) with hemospermia we performed transrectal ultrasound and MRI using an endorectal surface coil with a 1.5 tesla unit. Mean duration of hemospermia was 32 months (1 week to 16 years). RESULTS: Abnormalities were noted on transrectal ultrasound in 15 of the 17 patients (88%) and on MRI in all. Of the 12 cases of hemorrhage 10 involved the seminal vesicle and 2 involved the ejaculatory duct. There were 12 cystic lesions, including 7 in the müllerian and 5 in the ejaculatory ducts. Of 19 cases calculi were detected in the prostate in 5, seminal vesicle in 8, and ejaculatory and müllerian duct cysts in 4 and 2, respectively. There was 1 case of prostatic atrophy and 1 wolffian duct anomaly associated with an ejaculatory duct cyst, ectopic ureterocele and absence of the left kidney. CONCLUSIONS: MRI with an endorectal surface coil is a powerful modality for evaluating the seminal tracts of patients with hemospermia. It can be performed clinically when transrectal ultrasonography is not satisfactory. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/8976266/Magnetic_resonance_imaging_in_hemospermia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(01)65340-0 DB - PRIME DP - Unbound Medicine ER -