title: [Transurethral seminal vesiculoscopy combined with finasteride for recurrent hematospermia].
abstract: OBJECTIVE
  To evaluate the clinical effectiveness of transurethral seminal vesiculoscopy (TUSV) combined with finasteride in the treatment of recurrent hemospermia.
  
  
  METHODS
  This study included 32 patients with recurrent hematospermia, with the disease course of 3 months to 4 years. After administration of finasteride at 5 mg/d for 2 weeks, the patients underwent TUSV for both exploration of the causes and treatment, followed by medication with finasteride at the same dose for another 2 weeks. Postoperative follow-up was conducted for observation of the outcomes and complications.
  
  
  RESULTS
  TUSV was successfully accomplished in all the 32 cases, which revealed 16 cases of seminal vesiculitis, 10 seminal calculi, 1 seminal vesicle cyst, 2 seminal vesicle polyps, and 3 seminal vesicle abscess. The operative time was 20 to 51 (31.0 +/- 5.2) minutes. Postoperative complications included 1 case of acute epididymitis and 3 cases of breast discomfort within the first 4 weeks. No incontinence, urethral stricture, rectal injury, retrograde ejaculation, and sexual dysfunction occurred postoperatively. All the patients but 1 were followed up for 6 months to 2 years. Twenty-nine of the cases were cured, and 2 experienced recurrence.
  
  
  CONCLUSIONS
  Transurethral seminal vesiculoscopy combined with finasteride is safe and effective for the treatment of recurrent hemospermia.
authors.forename: Zhi-Qiang
authors.initials: ZQ
authors.lastname: Cui
authors.forename: Yong-Chuan
authors.initials: YC
authors.lastname: Wang
authors.forename: Jing
authors.initials: J
authors.lastname: Du
authors.forename: Hai-Jun
authors.initials: HJ
authors.lastname: Zhou
authors.forename: Zhi-Yong
authors.initials: ZY
authors.lastname: Yu
authors.forename: En-Jiang
authors.initials: EJ
authors.lastname: Gao
authors.forename: Hong-Kai
authors.initials: HK
authors.lastname: Lu
mesh_terms: D000328:Adult; D004724:Endoscopy / Q000379:methods*; D018120:Finasteride / Q000627:therapeutic use*; D005500:Follow-Up Studies; D051516:Hemospermia / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D018120:Finasteride