The Transurethral Seminal Vesiculoscopy in the Diagnosis and Treatment of the Seminal Vesicle Disease

Han, Conghui; Liang, Qing; Dong, Bingzheng; Hao, Lin; Fan, Tao; Zhang, Junjie; Zhang, Wen-da; Chen, Bin; Qiu, Xiangzheng; Zhou, Xiao-Yun; Pei, Changsong

doi:10.1007/s12013-013-9527-6

Cited by 20 publications

(24 citation statements)

References 7 publications

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“…[11][12][13][14][15] No severe complications were observed in these studies. [11][12][13][14][15] The present study investigated the use of transurethral seminal vesiculoscopy to analyse the cause of the seminal vesiculitis in 114 patients with an intractable form of the disease. To our knowledge, this is the largest study undertaken to date in this research area.…”

Section: Discussionmentioning

confidence: 99%

“…To date, few studies have focused on seminal vesiculoscopy in diagnosing and treating seminal vesiculitis. [11][12][13][14][15] The overall cure rate was reported as 78.6-97.6%, with the recurrence rate being <10%. [11][12][13][14][15] No severe complications were observed in these studies.…”

Section: Discussionmentioning

confidence: 99%

“…[11][12][13][14][15] The overall cure rate was reported as 78.6-97.6%, with the recurrence rate being <10%. [11][12][13][14][15] No severe complications were observed in these studies. [11][12][13][14][15] The present study investigated the use of transurethral seminal vesiculoscopy to analyse the cause of the seminal vesiculitis in 114 patients with an intractable form of the disease.…”

Section: Discussionmentioning

confidence: 99%

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Transurethral seminal vesiculoscopy in the diagnosis and treatment of intractable seminal vesiculitis

Liu

et al. 2014

J Int Med Res

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Objective: To investigate the efficacy and safety of transurethral seminal vesiculoscopy in the diagnosis and treatment of intractable seminal vesiculitis. Methods: This prospective observational study enrolled patients with intractable seminal vesiculitis. The transurethral seminal vesiculoscope was inserted into the bilateral ejaculatory ducts and seminal vesicles, via the urethra. The ejaculatory ducts and seminal vesicles were visualized to confirm the diagnosis of seminal vesiculitis and to determine the cause of the disease. The seminal vesicles were washed repeatedly using 0.90% (w/v) sodium chloride before a 0.50% (w/v) levofloxacin solution was injected into the seminal vesicles. Results: A total of 114 patients participated in the study and 106 patients underwent bilateral seminal vesiculoscopy. Six patients with postoperative painful ejaculation were treated successfully with oral antibiotics and a-blockers. Two patients with postoperative epididymitis were treated successfully with a 1-week course of antibiotics. Haematospermia was alleviated in 94 of 106 patients (89%), and their pain and discomfort had either disappeared or had been obviously relieved, following treatment. Conclusion: Transurethral seminal vesiculoscopy is effective for diagnosing and treating intractable seminal vesiculitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Transurethral seminal vesiculoscopy in the diagnosis and treatment of intractable seminal vesiculitis

Liu

et al. 2014

J Int Med Res

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“…Modalities for diagnosis include vasoseminal vesiculography, MRI, CT, and TRUS. Vasoseminal vesiculography is an invasive procedure; the lesion of the puncture site may be too narrow which can induce secondary seminal ductal obstruction [25]. The diagnosis of SV calculi can be done through an MRI, which is able to visualize the distal duct system.…”

Section: Clinical Evaluation Of Seminal Calculimentioning

confidence: 99%

“…Clinicians advise that the combination of an endorectal coil and MRI will provide a more viable diagnosis. However, it has been noted that these examinations yield a false-positive rate as well as diagnostic limitations secondary to the false-negative cases [25]. Thus, clinical applications through the diagnosis of an MRI are limited.…”

Section: Clinical Evaluation Of Seminal Calculimentioning

confidence: 99%

Etiology, Diagnosis, and Management of Seminal Vesicle Stones

Zaidi¹,

Gandhi

Seyam³

et al. 2019

Current Urology

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Background/Aims: Seminal vesicle (SV) stones are a rare, and thus readily misdiagnosed condition in practice. Understanding the etiology, diagnosis, and management are crucial to guide a urologist's care, and are provided in this literature review. Methods: The inclusion criteria for the literature search, using the search engines MEDLINE® and PubMed was conducted using a combined query of “seminal vesicle stone” and the following keywords: calculi, hematospermia, calcification, and transrectal ultrasound (TRUS). Results: The etiology of SV stones is currently unknown where majority of the patients present with having painful ejaculation and hematospermia. However, clinicians have reported potential etiologies by categorization as an inflammatory or non-in-flammatory. A majority of the previous cases had shown multiple stones being present in the SV duct system that are typically diagnosed through radiological examination such as TRUS, MRI, or plain radiographs. Amongst the many imaging approaches, TRUS remains the primary imaging diagnoses of SV calculi. Transurethral seminal vesiculoscopy has shown to be used in an abundant of the case reports to be an ideal surgical approach for managing small SV stones. In regard to larger stones, a transperitoneal laparoscopic protocol is proper. Conclusion: The current imaging techniques have increased the case reports and diagnosis of SV calculi; however, more research is warranted for understanding the pathogenesis of the formation of SV stones. An optimal management of the extraction of SV stones depends on a number of factors such as size and location.

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Anatomical study of the seminal vesicle system for transurethral seminal vesiculoscopy

Liu

et al. 2018

Clinical Anatomy

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Because of a general lack of knowledge regarding the precise anatomy of the seminal vesicle system, efforts to use transurethral seminal vesiculoscopy (TSV) are currently constrained. We investigated 26 normal adult male specimens. Contrast medium was injected into the seminal vesicle system in 18 specimens and the openings of the ejaculatory ducts were examined with an operating microscope. India ink was injected into the urethra in four specimens to investigate the function of the ejaculatory duct valve. Another four specimens were examined histologically to identify the anatomical relationships of the seminal vesicle system. We found that the openings of the ejaculatory ducts were covered by the ejaculatory duct valve, which could be classified into two types and acted as a one-way valve. The apex of the seminal colliculus together with the right and left openings of the ejaculatory ducts formed a shape resembling an isosceles triangle. This could be used to locate the openings of the ejaculatory ducts during TSV. The ejaculatory ducts can be classified into two types according to their course. During surgery, efforts must be made to protect the ejaculatory duct valve. During inspection or surgery, the second segment and the angles of the ejaculatory ducts, particularly in Type I b and Type II cases, require particular attention.

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The Transurethral Seminal Vesiculoscopy in the Diagnosis and Treatment of the Seminal Vesicle Disease

Cited by 20 publications

References 7 publications

Transurethral seminal vesiculoscopy in the diagnosis and treatment of intractable seminal vesiculitis

Transurethral seminal vesiculoscopy in the diagnosis and treatment of intractable seminal vesiculitis

Etiology, Diagnosis, and Management of Seminal Vesicle Stones

Anatomical study of the seminal vesicle system for transurethral seminal vesiculoscopy

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