Transurethral endoscopic approach for seminal vesicle stone removal
10.3724/SP.J.1008.2009.01297
- Author:
Jie CHEN
1
Author Information
1. Department of Urology
- Publication Type:Journal Article
- Keywords:
Calculus;
Seminal vesicle;
Therapeutics;
Urethroscope
- From:
Academic Journal of Second Military Medical University
2010;30(11):1297-1298
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To study the transurethral endoscopic approach for removal of seminal vesical stone and to evaluate its efficacy. Methods: The diagnosis of 18 patients with seminal vesicle stones were confirmed by ultrasonography, X-ray or computerized tomography before operation. The patients, with a mean age of (41.5±5.3) years old and a mean disease course of (6.6±3.6) months, included 15 with intractable hemospermia, 3 with perineal discomfort and 2 with painful ejaculation. Seminal vesical stones were found unilaterally in 16 cases and bilaterally in 2 cases. We passed a 6/7. 5F rigid urethroscope through the utricular opening into the seminal vesicle, and all the stones in 17 patients were endoscopically removed using a grasper; one patient was treated by holmium-laser due to the large size of the stones. Results, The mean operation period was (35.6±13.4) min and the mean hospital stay was (4.1±1.5) days. The mean follow-up period was (6.4 ±3.1) months. Hematospermia disappeared in 15 (15/15) cases after treatment; painful ejaculation disappeared in 2(2/2) cases and perineal discomfort was improved in 2(2/3) cases. One patient had epididymitis a week after the operation and the symptoms were relieved after 5-day-antibiotic therapy. Conclusion: Transurethral endoscopic approach for treatment of seminal vesicle stone has a better outcome, less trauma and few complications; it is an effective method for seminal vesicle stone removal.
