title: Transutricular seminal vesiculoscopy.
abstract: Disorders of the seminal vesicle have been evaluated mainly via imaging techniques. We developed a technique to examine the interior of seminal vesicles endoscopically. In 37 hemospermic patients, transrectal ultrasound (TRUS) or endorectal MRI were performed preoperatively. When the patients had definite abnormalities on the imaging studies and did not improve after medication over a period exceeding 3 months, transutricular seminal vesiculoscopy was performed using a 6F or a 9F rigid ureteroscope. Patients were then followed for at least 3 months. Endoscopic evaluation was also performed in two patients with stage B(1) and D(2) prostate carcinoma. In hemospermic patients, hemorrhage was found in the seminal vesicles or the ejaculatory ducts in 23 (62.2%) and 3 (8.1%), respectively. Calculi were present in the seminal vesicles or ejaculatory ducts in 6 (16.2%) and 2 (5.4%), respectively. In prostate carcinoma patients, seminal vesiculoscopy was similarly informative. Postoperative complications, including epididymitis or retrograde ejaculation, were not observed. Transutricular seminal vesiculoscopy can be performed easily with conventional endoscopic equipment and provides useful information.
authors.affiliation: The Urological Science Institute, Yonsei University, College of Medicine, Seoul, Korea.
authors.forename: Seung Choul
authors.initials: SC
authors.lastname: Yang
authors.forename: Koon Ho
authors.initials: KH
authors.lastname: Rha
authors.forename: Sang Kwon
authors.initials: SK
authors.lastname: Byon
authors.forename: Jang Hwan
authors.initials: JH
authors.lastname: Kim
mesh_terms: D004543:Ejaculatory Ducts / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D011471:Prostatic Neoplasms / Q000601:surgery*; D012669:Seminal Vesicles / Q000601:surgery*; D018084:Ultrasonography, Interventional / Q000379:methods