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Abstract

Volume 11, Issue 5 (September 2009) 11, 566–570; 10.1038/aja.2009.47

Transurethral seminal vesiculoscopy in the diagnosis and treatment of persistent or recurrent hemospermia: a single-institution experience

Zhi-Yong Liu, Ying-Hao Sun, Chuan-Liang Xu, Jian-Guo Hou, Xu Gao, Xin Lu, Hua-Mao Ye, Lin-Hui Wang and Xiao-Feng Gao

Shanghai Changhai Hospital, the Second Military Medical University, Shanghai 200433, China

Received 3 January 2009; Revised 5 July 2009; Accepted 13 July 2009; Published online 24 August 2009.

Abstract

The diagnosis and treatment of hemospermia presents significant difficulty, especially if it persists or recurs. In this retrospective study, we assessed whether transurethral seminal vesiculoscopy is feasible and effective in the diagnosis and treatment of hemospermia. To address this complex condition, we report our experience in a population of patients treated with transurethral seminal vesiculoscopy. From February 2006 to July 2008, 72 hemospermic patients underwent transurethral seminal vesiculoscopy examination and treatment at our urology center. Transurethral seminal vesiculoscopy was performed by a 7-F or 8-F rigid ureteroscope. The endoscopic procedure was conducted through the normal anatomic route of the seminal tracts. In this series, the mean follow-up period was 21.7 months. Definite diagnosis was made for 93.1% patients, and 94.4% patients were cured or showed a decrease in their symptoms. Postoperative complications were not observed in the study. Our study proves that transurethral seminal vesiculoscopy is effective in the diagnosis and treatment of hemospermia with minimal complication.

Keywords: diagnosis, hemospermia, transurethral seminal vesiculoscopy, treatment

Keywords: Dr Ying-hao Sun, sunyh@medmail.com.cn

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