title: The transurethral seminal vesiculoscopy in the diagnosis and treatment of the seminal vesicle disease.
abstract: To develop a transurethral endoscopy technique of the transurethral seminal vesiculoscopy to examine and treat seminal vesicle disease. A total of 61 patients with seminal vesicle disease were diagnosed and treated with the transurethral seminal vesiculoscopy through the distal seminal tracts and vesicles. 58 cases were successfully treated using transurethral seminal vesiculoscopy via the seminal vesicles. The operation took 25 ~ 85 min, with an average of (35.6) mins. In this group, seven cases were diagnosed as ejaculatory orifice cyst, 14 cases had blood clots in the seminal vesicles, and nine patients had stones in the seminal vesicles. All patients were treated properly. Follow-up occurred at 3 months, with two cases showing post-operative discomfort in perineal region. One patient had recurrence with seminal vesiculitis, which improved with treatment. Four infertile patients had a significant increase in sperm count and ejaculation volume and two of these patients were able to naturally inseminate within seven to 18 months post-surgery. This approach enables a new endoscopic technique with the transurethral seminal vesiculoscopy to diagnose and treat seminal vesicle disease through the normal anatomic pathway which can be easily performed with few post-operative complications.
authors: Department of Urology, The Affiliated School of Clinical Medicine of Xuzhou Medical College, Xuzhou Central Hospital, Xuzhou, People's Republic of China. hanchdoctor@qq.com
authors: Cong-hui
authors: CH
authors: Han
authors: Qing
authors: Q
authors: Liang
authors: Bing-zheng
authors: BZ
authors: Dong
authors: Lin
authors: L
authors: Hao
authors: Tao
authors: T
authors: Fan
authors: Jun-jie
authors: JJ
authors: Zhang
authors: Wen-da
authors: WD
authors: Zhang
authors: Bo
authors: B
authors: Chen
authors: Xiang-zheng
authors: XZ
authors: Qiu
authors: Xiang-ju
authors: XJ
authors: Zhou
authors: Chang-song
authors: CS
authors: Pei
mesh_terms: D000328:Adult; D004724:Endoscopy / Q000379:methods*; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012669:Seminal Vesicles / Q000473:pathology; D014521:Urethra; D055815:Young Adult