Double J-tube indwelling after transurethral seminal vesiculoscopy reduces recurrence of ejaculatory duct obstruction
10.13263/j.cnki.nja.2024.08.002
- VernacularTitle:精囊镜术后双J管留置技术减少射精管瘢痕性梗阻复发
- Author:
Kun PANG
1
,
2
;
Bo CHEN
;
Deng PAN
;
Hao XU
;
Yu-Yang MA
;
Hai-Luo WANG
;
Wei-Ling WANG
Author Information
1. 徐州中心医院/徐州医科大学附属徐州临床学院/南京医科大学附属徐州临床学院/东南大学附属徐州市中心医院泌尿外科,江苏徐州 221009
2. 沛县人民医院,江苏徐州 221009
- Keywords:
transurethral seminal vesiculoscopy;
ejaculatory duct obstruction;
double-J tube;
recurrence rate
- From:
National Journal of Andrology
2024;30(8):681-686
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce a surgical method involving the indwelling of double-J tubes(DJT)in the seminal vesicles after transurethral seminal vesiculoscopy(TSV)in order to reduce the recurrence of refractory ejaculatory duct obstruction(EDO).Methods:This randomized controlled trial included 67 EDO patients undergoing TSV in our hospitals,27 with(the trial group)and 29 without postoperative indwelling of DJTs in the seminal vesicles(the control group).We collected the general information on the pa-tients and TSV-related parameters,including age,body mass index(BMI),preoperative use of antibiotics,history of urinary tract dis-ease,operation time,hospital stay and intra-and postoperative complications,and performed comparative analyses particularly on the surgical effect,complications,recurrence rate and time to recurrence in the two groups of patients.Results:The patients in the trial and control groups were followed up for(40.5±10.6)and(32.5±14.8)months,respectively.There were no statistically signifi-cant differences in the baseline data,intra-and postoperative complications,and postoperative hospital days between the two groups(P＞0.05).Compared with the controls,the patients in the trial group showed a significantly shorter operation time([62.8±6.1]vs[49.5±7.7]min,P＜0.05)and a lower recurrence rate than the controls(18.5％vs 44.8％,P＜0.05),but with no statisti-cally significant difference in the median time to recurrence(21.0 mo vs 22.0 mo,P＞0.05).Conclusion:The novel technique of indwelling double-J tubes in the seminal vesicles after TSV can significantly reduce the recurrence rate of refractory EDO.
