Holmium laser incision under ureteroscopy for refractory hemospermia
10.11659/jjssx.1672-5042.201402023
- VernacularTitle:输尿管镜下钬激光内切开治疗顽固性血精
- Author:
Xiaojun WU
;
Weibing LI
;
Junan YAN
;
Zhansong ZHOU
;
Yongquan WANG
;
Yi ZHI
;
Ji ZHENG
;
Peng HE
- Publication Type:Journal Article
- Keywords:
hematospermia;
ureteroscopy;
holmium laser
- From:
Journal of Regional Anatomy and Operative Surgery
2014;(2):170-171,174
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the effect of holmium laser incision through ureteroscopy and simple ureteroscopy treatment for refrac-tory hemospermia. Methods From December 2003 to April 2013,the data of 67 cases with refractory hemospermia were retrospectively ana-lyzed. All the patients underwent semen analysis,transrectal ultrasonography,seminal vesicle ultrasonography,some patients underwent pelvic CT or MRI. Results Simple ureteroscopy were done for 24 cases,holmium laser incision through ureteroscopy were done for 43 cases. Var-ying degrees of ejaculatory duct stenosis or obstruction were observed. Postoperative follow-up was from 6 months to 8 years,in 24 cases of simple ureteroscopy,2 cases experienced recurrence 6 or 8 months later. The ejaculatory duct narrow were found when they received reopera-tion,with holmium laser incision,hemospermia disappeared. No complications such as retrograde ejaculation,urinary incontinence or rectal injury occurred postoperatively. Conclusion The effect of holmium laser incision through ureteroscopy for refractory hemospermia is better than simple ureteroscopy,which is worthy of clinical application needs further observation and summary.
