Abstract
To develop a transurethral endoscopy technique of the transurethral seminal vesiculoscopy to examine and treat seminal vesicle disease. A total of 61 patients with seminal vesicle disease were diagnosed and treated with the transurethral seminal vesiculoscopy through the distal seminal tracts and vesicles. 58 cases were successfully treated using transurethral seminal vesiculoscopy via the seminal vesicles. The operation took 25 ~ 85 min, with an average of (35.6) mins. In this group, seven cases were diagnosed as ejaculatory orifice cyst, 14 cases had blood clots in the seminal vesicles, and nine patients had stones in the seminal vesicles. All patients were treated properly. Follow-up occurred at 3 months, with two cases showing post-operative discomfort in perineal region. One patient had recurrence with seminal vesiculitis, which improved with treatment. Four infertile patients had a significant increase in sperm count and ejaculation volume and two of these patients were able to naturally inseminate within seven to 18 months post-surgery. This approach enables a new endoscopic technique with the transurethral seminal vesiculoscopy to diagnose and treat seminal vesicle disease through the normal anatomic pathway which can be easily performed with few post-operative complications.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Wu, H. F. (2008). Surgery of the seminal tract (1st ed., pp. 340–345). Nanjing: Southeast University Press.
Zhao, L. Y., Tu, X. A., Xiang, Y., et al. (2010). Was fine-needle vasography an obsolete diagnostic method to evaluate ejaculatory duct obstruction? Report of 37 cases. Urologia Internationalis, 85, 186–193.
Wang, H. F., Ye, H. M., Xu, C. L., et al. (2011). Transurethral seminal vesiculoscopy using a 6F vesiculoscope for ejaculatory duct obstruction: Initial experience. Journal of Andrology,. doi:10.2164/jandrol.111.013912.
Maeda, H., Toyooka, N., Kinukawa, T., et al. (1993). Magnetic resonance images of hematospermia. Journal of Urology, 41, 499–504.
Cho, I. R., Lee, M. S., Rha, K. H., et al. (1997). Magnetic resonance imaging in hemospermia. Journal of Urology, 157, 258–262.
Han, W. K., Lee, S. R., Rha, K. H., et al. (2009). Transutricular seminal vesiculoscopy in hematospermia: Technical considerations and outcomes. Journal of Urology, 73, 1377–1382.
Heshmat, S., & Lo, K. C. (2006). Evaluation and treatment of ejaculatory duct obstruction in infertile men. Canadian Journal of Urology, 13, 18–21.
Johnson, C. W., Bingham, J. B., Goluboff, E. T., et al. (2005). Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms. BJU International, 95, 117–119.
Okubo, K., Maekawa, S., Aoki, Y., et al. (1998). In vivo endoscopy of the seminal vesicle. Journal of Urology, 159, 2069–2070.
Yang, S. C., Rha, K. H., Byon, S. K., et al. (2002). Transutricular seminal vesiculoscopy. Journal of Endourology, 16, 343–345.
Li, L. K., Li, B., Yan, J., et al. (2006). Transurethral retrograde urethroscopy diagnosis and treatment of distal Seminal Tract disease: a new technique. Journal of Clinical Urology, 21, 808–810.
Author information
Authors and Affiliations
Corresponding authors
Additional information
Cong-hui Han, Qing Liang and Bing-zheng Dong contributed equally to this study.
Rights and permissions
About this article
Cite this article
Han, Ch., Liang, Q., Dong, Bz. et al. The Transurethral Seminal Vesiculoscopy in the Diagnosis and Treatment of the Seminal Vesicle Disease. Cell Biochem Biophys 66, 851–853 (2013). https://doi.org/10.1007/s12013-013-9527-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12013-013-9527-6