Real-time transrectal ultrasonography in seminal vesiculoscopy.
- Author:
Guang-Feng SHAO
1
;
Tian-Jia MA
1
;
Yu-Qiang LIU
1
;
Jun-Jia LI
1
;
Wen-Zhen WANG
1
;
Ming-Zhen YUAN
1
Author Information
1. Department of Urology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.
- Publication Type:Journal Article
- Keywords:
pathways of endoscopy;
transrectal ultrasonography;
opening of the ejaculatory duct;
seminal vesiculoscopy
- MeSH:
Azoospermia;
diagnostic imaging;
Ejaculatory Ducts;
diagnostic imaging;
Epididymitis;
diagnostic imaging;
Genital Diseases, Male;
Hemospermia;
diagnostic imaging;
Humans;
Male;
Operative Time;
Prostate;
diagnostic imaging;
Rectum;
Reproducibility of Results;
Retrospective Studies;
Semen;
Semen Analysis;
Seminal Vesicles;
diagnostic imaging;
Spermatozoa;
Ultrasonography;
methods;
statistics & numerical data
- From:
National Journal of Andrology
2017;23(4):337-342
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare three different pathways for transurethral seminal vesiculoscopy (SVS) and investigate the reliability and efficiency of transrectal ultrasonography (TRUS)-guided SVS (TRUS-SVS).
METHODS:We retrospectively analyzed 90 cases of seminal vesiculoscopy conducted directly through the ejaculatory duct or prostatic utricle or under the guide of TRUS. We compared the success rate and complications among the three approaches.
RESULTS:Operations were successfully performed in 87 (96.67%) of the 90 cases, 30 through the ejaculatory duct, 37 via the prostatic utricle, and 20 under the guide of TRUS, the operation time ranging from 25 to 75 minutes. Sperm was detected from the seminal vesicle fluid in (92.06%) of the azoospermia patients (58/63) during the surgery and in 77.78% of them (49/63) in semen analysis at 1 week postoperatively. Fifteen hematospermia and 12 spermatocystitis patients were cured. Postoperative follow-up found 20 cases of water-like semen and 3 cases of orchiepididymitis, but no such complications as retrograde ejaculation, incontinence, or rectourethral fistula.
CONCLUSIONS:Transejaculatory duct and transprostatic utricle pathways are two common approaches to SVS, while TRUS-SVS may achieve a higher success rate and avoid injury of both the prostate and the rectum.
