title: The Application of Pediatric Ureteroscope for Seminal Vesiculoscopy.
abstract: To describe a novel technique of transurethral seminal vesiculoscopy using a pediatric ureteroscope in the diagnosis and management of persistent hematospermia, a retrospective study was carried out for 20 patients with recurrent hematospermia whom we evaluated and treated using a 6-7.5F (6F front end and 7.5F rear end) pediatric ureteroscope from August 2009 to September 2013. For the 20 patients, the age ranges from 25 to 48 years with a mean age of 36 years. The duration of the hematospermia ranges from 6 to 48 months with a mean duration of 18 months. Transurethral seminal vesiculoscopy was successfully performed in the 20 cases and the mean operative time was 35 min (ranges from 25 to 90 min). Among the 20 patients, 11 patients were found to have seminal vesiculitis, five were with seminal vesicle stone, one was with prostatic utricle stone, one was with prostate cyst, and one was with ejaculatory duct obstruction. The mean follow-up period was 7 months (ranged from 6 to 12 months). Hematospermia in 19 cases disappeared after the surgery and only in one patient the hematospermia recurred 6 months after the surgery. The cure rate was 95%. This study indicated that transurethral seminal vesiculoscopy could be performed easily using a semirigid pediatric ureteroscope with few complications and is an effective therapeutic approach for persistent hematospermia.
authors.affiliation: Department of Urology, The Affiliated Ganzhou City People's Hospital of Nanchang University, Ganzhou, Jiangxi 341000, China.
authors.forename: Shulin
authors.initials: S
authors.lastname: Guo
authors.affiliation: Department of Urology, The Affiliated Ganzhou City People's Hospital of Nanchang University, Ganzhou, Jiangxi 341000, China.
authors.forename: Donghua
authors.initials: D
authors.lastname: Xie
authors.affiliation: Linyi City People's Hospital, Linyi, Shandong 276003, China.
authors.forename: Xiangfei
authors.initials: X
authors.lastname: He
authors.affiliation: Department of Urology, The Affiliated Ganzhou City People's Hospital of Nanchang University, Ganzhou, Jiangxi 341000, China.
authors.forename: Chuance
authors.initials: C
authors.lastname: Du
authors.affiliation: Department of Urology, The Affiliated Ganzhou City People's Hospital of Nanchang University, Ganzhou, Jiangxi 341000, China.
authors.forename: Lunfeng
authors.initials: L
authors.lastname: Zhu
authors.affiliation: Department of Urology, The Affiliated Ganzhou City People's Hospital of Nanchang University, Ganzhou, Jiangxi 341000, China.
authors.forename: Xiaolin
authors.initials: X
authors.lastname: Deng
authors.affiliation: Department of Urology, The Affiliated Ganzhou City People's Hospital of Nanchang University, Ganzhou, Jiangxi 341000, China.
authors.forename: Zhongsheng
authors.initials: Z
authors.lastname: Yang