Liu Zhi-Yong, Sun Ying-Hao, Xu Chuan-Liang, Hou Jian-Guo, Gao Xu, Lu Xin, Ye Hua-Mao, Wang Lin-Hui, Gao Xiao-Feng
Shanghai Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
Asian J Androl. 2009 Sep;11(5):566-70. doi: 10.1038/aja.2009.47. Epub 2009 Aug 24.
The diagnosis and treatment of hemospermia presents significant difficulty, especially if it persists or recurs. In this retrospective study, we assessed whether transurethral seminal vesiculoscopy is feasible and effective in the diagnosis and treatment of hemospermia. To address this complex condition, we report our experience in a population of patients treated with transurethral seminal vesiculoscopy. From February 2006 to July 2008, 72 hemospermic patients underwent transurethral seminal vesiculoscopy examination and treatment at our urology center. Transurethral seminal vesiculoscopy was performed by a 7-F or 8-F rigid ureteroscope. The endoscopic procedure was conducted through the normal anatomic route of the seminal tracts. In this series, the mean follow-up period was 21.7 months. Definite diagnosis was made for 93.1% patients, and 94.4% patients were cured or showed a decrease in their symptoms. Postoperative complications were not observed in the study. Our study proves that transurethral seminal vesiculoscopy is effective in the diagnosis and treatment of hemospermia with minimal complication.
血精症的诊断和治疗存在很大困难，尤其是当血精持续或复发时。在这项回顾性研究中，我们评估了经尿道精囊镜检查在血精症诊断和治疗中的可行性和有效性。为应对这种复杂情况，我们报告了我们在接受经尿道精囊镜检查治疗的患者群体中的经验。2006年2月至2008年7月，72例血精症患者在我们的泌尿外科中心接受了经尿道精囊镜检查和治疗。经尿道精囊镜检查采用7F或8F硬性输尿管镜进行。内镜操作通过精道的正常解剖路径进行。在该系列研究中，平均随访期为21.7个月。93.1%的患者得到明确诊断，94.4%的患者治愈或症状减轻。研究中未观察到术后并发症。我们的研究证明，经尿道精囊镜检查在血精症的诊断和治疗中有效，且并发症极少。
