title: Transurethral endoscopy technique with a ureteroscope for diagnosis and management of seminal tracts disorders: a new approach.
abstract: OBJECTIVE
  To apply a transurethral endoscopic technique for examining and managing suspicious distal seminal tracts disorders with a ureteroscope.
  
  
  METHODS
  Sixteen patients with distal seminal tracts disorders underwent transurethral endoscopy through the distal seminal tracts using a semirigid ureteroscope. Of the 16 patients, 6 had suspected hemospermia, 4 spermatocele, and 6 male infertility.
  
  
  RESULTS
  The ejaculatory duct, seminal vesicle, and ampulla of the vas deferens were observed under direct vision with the ureteroscope. The vas deferens was investigated by cannulation with a guidewire or an epidural anesthesia catheter. Four patients received a diagnosis of spermatocele, four seminal vesiculitis, and three vas deferens obstruction. All patients received appropriate treatment. The remaining five patients had no anatomic disorders. All patients received careful postoperative observation and treatment, and were monitored for at least 3 months. Three patients had postoperative discomfort in the perineal region. There were no further complications.
  
  
  CONCLUSIONS
  This new technique with the ureteroscope enables diagnosis and management of distal seminal tracts disorders through the normal anatomic tract. This endoscopic technique can be performed easily with minimal complications.
authors.affiliation: Urological Center, Southwest Hospital, Third Military Medical University, Chongqing, China.
authors.forename: Longkun
authors.initials: L
authors.lastname: Li
authors.forename: Chonghe
authors.initials: C
authors.lastname: Jiang
authors.forename: Caiping
authors.initials: C
authors.lastname: Song
authors.forename: Zhansong
authors.initials: Z
authors.lastname: Zhou
authors.forename: Bo
authors.initials: B
authors.lastname: Song
authors.forename: Weibing
authors.initials: W
authors.lastname: Li
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D020709:Ureteroscopes