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

Abstract

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.

Transurethral seminal vesiculoscopy acts as a therapeutic investigation for intractable hemospermia: Step‐by‐step illustrations and single‐surgeon experience

“…3 Liu et al also reported a similar success rate (93.0%) in their TUSV procedures in a prospective observational study based on 114 patients with intractable seminal vesiculitis. 12 In the present study, the success rate of TUSV was 92.1%, which is comparable with similar studies reported in the literature.…”

“…reported that transurethral endoscopy was very informative for examining the interior of seminal vesicles . Since then, a number of reports have shown that TUSV is a safe and feasible diagnostic tool for hemospermia …”

“…The mechanisms of complete remission in negative structural anomalies remain unclear. One hypothesis is that membranous tissues overlying the opening of the ejaculatory duct might compromise drainage from the seminal tract . The stasis of seminal vesical fluid might subsequently lead to calculi formation and seminal vesiculitis, both of which are refractory to medical treatments.…”

“…7 Since then, a number of reports have shown that TUSV is a safe and feasible diagnostic tool for hemospermia. [8][9][10][11][12][13] Xing et al reported a 92.3% success rate (98/106 patients) with the ureteroscope introduced into the seminal vesicles. 3 Liu et al also reported a similar success rate (93.0%) in their TUSV procedures in a prospective observational study based on 114 patients with intractable seminal vesiculitis.…”

The application of the preformed physical factors for the combined treatment of the patients presenting with chronic vesiculitis

“…[10][11][12], также в последние годы используются эндоскопические методы терапии пациентов с дан-ной патологией, включающие катетеризацию се-менных пузырьков с последующим орошением ан-тибактериальным раствором [13]. Однако недоста-точная клиническая эффективность медикаментов, развитие отрицательных реакций в процессе дли-тельного применения лекарственных средств, трав-матичность, применение различных методов ане-стезии и нередкие осложнения после эндоскопиче-ской терапии обусловливают включение в ком-плексное лечение преформированных физических факторов, таких как ультразвук, импульсные токи, магнитное и лазерное излучение, а также микровол-ны.…”