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Volume 42 Issue 1
Jan.  2019
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Article Navigation >  Journal of Molecular Imaging  > 2019  >  42(1): 43-45
Xuezhen YANG, Xu JIANG, Hua WANG, Hongjian ZHU. Experiences exploration of seminal vesicle endoscopy technology in diagnosis and treatment of refractory hemospermia[J]. Journal of Molecular Imaging, 2019, 42(1): 43-45. doi: 10.12122/j.issn.1674-4500.2019.01.11
Citation: Xuezhen YANG, Xu JIANG, Hua WANG, Hongjian ZHU. Experiences exploration of seminal vesicle endoscopy technology in diagnosis and treatment of refractory hemospermia[J]. Journal of Molecular Imaging, 2019, 42(1): 43-45. doi: 10.12122/j.issn.1674-4500.2019.01.11
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Experiences exploration of seminal vesicle endoscopy technology in diagnosis and treatment of refractory hemospermia

doi: 10.12122/j.issn.1674-4500.2019.01.11
  • 1.

    Department of Urology, The Second Affilated Hospital of Bengbu Medical College, Bengbu 233000, China

  • 2.

    Department of Urology, Beijing Armed Police General Hospital, Beijing 100039, China

  • Received Date: 2018-11-03
  • Publish Date: 2019-01-01
    Abstract
  • Objective To investigate the clinical value of seminal vesicle endoscopy technique in the diagnosis and treatment of hemospermia. Methods Nineteen patients clinically diagnosed with refractory hemospermia were included in the study. Prostatic fluid culture and drug sensitivity test were performed before the surgery. TRUS, seminal MRI or CT scan for seminal vesicles were carried out to exclude tumor of seminal vesicle, tubercle and carcinoma of prostate. Seminal vesicle endoscopy was conducted using urethra F4.5/6 ureteroscope, old coagulated blood in seminal vesicles was washed. Holmium laser was used to break calculus of seminal vesicle and quinolones was perfused into the seminal vesicles during the surgery. Four weeks finasteride therapy followed after operation. Results For 19 patients, 18 patients successfully received bilateral seminal vesicles endoscopy, washing and drug reserved perfusion. One patient completed injured seminal vesicle endoscopy and treatment. Six months to one year follow-up indicated that no hemospermia was found in 18 patients and one patient was diagnosed with hemospermia recurrence. The symptoms were improved after sensitive antibiotics anti-inflammatory treatment. Conclusion Seminal vesicle endoscopy per urethra using F4.5/6 ureteroscopes is a safe and effective method to treat refractory hemospermia.

     

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