Clinical application of the disposable vasographic interventional therapy kit in vasoseminal vesiculography.
- Author:
Jia-Dong XIA
1
;
Yang LI
1
;
You-Feng HAN
2
;
Jie YANG
1
;
Rui-Peng JIA
3
;
Yu-Tian DAI
2
;
Xue-Jun SHANG
4
;
Zeng-Jun WANG
1
Author Information
1. Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.
2. Department of Andrology, Nanjing Drum Tower Hospital, Nanjing Medical University, Nanjing, Jiangsu 210008, China.
3. Department of Urology, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu 210006, China.
4. Department of Andrology, Jinling Hospital Affiliated to Nanjing University School of Medicine / Nanjing General Hospital of Nanjing Military Region, Nanjing, Jiangsu 210002, China.
- Publication Type:Journal Article
- Keywords:
percutaneous puncture;
seminal duct disease;
vasoseminal vesiculography;
disposable vasographic interventional therapy kit
- MeSH:
Adult;
Aged;
Contrast Media;
administration & dosage;
Cysts;
diagnostic imaging;
Ejaculatory Ducts;
diagnostic imaging;
Genital Diseases, Male;
diagnostic imaging;
Hemospermia;
diagnostic imaging;
etiology;
Hernia, Inguinal;
surgery;
Humans;
Infertility, Male;
diagnostic imaging;
Injections;
Male;
Middle Aged;
Postoperative Complications;
diagnostic imaging;
etiology;
Radiography;
methods;
Seminal Vesicles;
diagnostic imaging;
Vas Deferens;
diagnostic imaging;
injuries;
Young Adult
- From:National Journal of Andrology
2018;24(2):122-127
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the success rate and safety of percutaneous vasoseminal vesiculography with the disposable vasographic interventional therapy kit (VITK).
METHODS:This study included ninety-six 19－65 (mean 43) years old male patients with infertility, hematospermia, seminal vesicle cyst, ejaculatory duct cyst, ejaculatory dysfunction, or vas deferens injury, with disease courses varying from 1 month to 7 years. With an open, multi-centered, single-group, self-controlled design and using the disposable VITK, we treated the patients by percutaneous vasoseminal vesiculography via injection of contrast medium into the vas deferens cavity under local anesthesia.
RESULTS:Percutaneous vasoseminal vesiculography was successfully performed in 92 (97.87%) of the patients, which revealed abnormal seminal ducts in 51 cases (54.3%). Among the 28 infertile patients, 3 were found with bilateral and 5 with unilateral vas deferens obstruction. Vesiculitis was detected in 36 (81.8%) of the 44 hematospermia patients and bilateral vas deferens abnormality in 5 (38.5%) of the 13 patients with ejaculatory dysfunction. Transectional damage was observed in 2 patients with vas deferens injury induced by bilateral inguinal hernia repair. Three cases of seminal vesicle cyst and 4 cases of ejaculatory cyst were definitely diagnosed by vasoseminal vesiculography.
CONCLUSIONS:The disposable vasographic interventional therapy kit, with the advantages of simple operation and high safety, deserves a wide clinical application in vasoseminal vesiculography.
