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Asian Journal of Andrology (2009) 11: 566-570. doi: 10.1038/aja.2009.47; published online 24 August 2009.
Transurethral seminal vesiculoscopy in the diagnosis and treatment of persistent or recurrent hemospermia: a single-institution experience
Zhi-Yong Liu1, Ying-Hao Sun1, Chuan-Liang Xu1, Jian-Guo Hou1, Xu Gao1, Xin Lu1, Hua-Mao Ye1, Lin-Hui Wang1 and Xiao-Feng Gao1
1 Shanghai Changhai Hospital, the Second Military Medical University, Shanghai 200433, China
Correspondence: Dr Ying-hao Sun, Shanghai Changhai Hospital, the Second Military Medical University, Changhai Road, Shanghai 200433, China. Fax: +86-21-6324-1377 E-mail: sunyh@medmail.com.cn
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 |
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