Puncture of the seminal vesicles guided by a transrectal real-time linear scanner.
An interventional technique using a transrectal real-time linear scanner has been applied to the transperineal puncture of the seminal vesicles in 143 patients. The composition of this group was as follows: seminal vesiculitis, 98; hemospermia, 20; and prostatic cancer, 25. The aspiration of fluid and the injection of antibiotics and/or steroid drugs into the vesicles were performed for the diagnosis and treatment of seminal vesiculitis and hemospermia. Clinical symptoms improved in 62% of the former and in 50% of the latter cases. Cancer cells were detected in aspirated vesicular fluid in 7 out of 17 cases with prostatic cancer. A remarkable improvement in the diagnosis of prostatic cancer invasion into the seminal vesicles can be expected from this new diagnostic procedure.
Abe
M
M
Department of Urology, Kyoto Prefectural University of Medicine, Japan.
Watanabe
H
H
Kojima
M
M
Saitoh
M
M
Ohe
H
H
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004867:Equipment Design; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007249:Inflammation / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010173:Palpation; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000473:pathology; D011677:Punctures / Q000295:instrumentation*; D012661:Semen / Q000473:pathology; D012669:Seminal Vesicles / Q000473:pathology*; D014463:Ultrasonography / Q000379:methods*
D000900:Anti-Bacterial Agents; D005938:Glucocorticoids