State Key Laboratory of Reproductive Medicine, Department of Urology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, and Jiangsu Shengze Hospital, Wujiang, China.
J Endourol. 2011 Nov;25(11):1815-8. doi: 10.1089/end.2010.0456. Epub 2011 Aug 26.
To investigate a new method and its effect on the procedure of dilating the ejaculatory duct and flushing the seminal vesicle with an F9 seminal vesicle scope in patients with chronic and recurrent seminal vesiculitis.
Twenty-six patients with a diagnosis based to signs, laboratory detection, digital rectal examination, and transrectal ultrasonography were involved in present study. The patients underwent a surgical procedure of dilating the ejaculatory duct and flushing the seminal vesicles with an F9 seminal vesicle endoscope. All patients were followed for 3 months to 1 year after treatment.
There were significant reductions in symptoms, signs, white blood cell and red blood cell counts on microscopic examination, seminal vesicles size, improvement of inner walls echo in transrectal ultrasonography, and semen culture positive rate. Moreover, all patients showed improvement.
The present study provides a new transurethral seminal tract endoscopic technique with seminal vesicle scope through the normal anatomic tract to treat patients with chronic seminal vesiculitis. It proved to be easily conducted with minimized complications. Further investigations are needed to confirm our results.
探讨一种新方法及其对慢性复发性精囊炎患者经尿道射精管扩张联合 F9 精囊镜冲洗术的疗效。
本研究共纳入 26 例符合临床表现、实验室检查、直肠指诊和经直肠超声检查的精囊炎患者。所有患者均采用 F9 精囊镜经尿道射精管扩张联合精囊冲洗术进行治疗。术后对所有患者进行 3 个月至 1 年的随访。
治疗后，患者的症状、体征、白细胞和红细胞计数、精囊大小、经直肠超声检查精囊内回声以及精液培养阳性率均明显降低，所有患者均有不同程度的改善。
本研究采用经尿道射精管逆行扩张联合 F9 精囊镜冲洗术治疗慢性精囊炎，为一种新的经自然腔道的内镜技术，具有创伤小、并发症少等优点，但仍需进一步研究证实。
