Application of seminal vesiculoscopy on the treatment of seminal vesiculitis
Objective: The development of seminal vesicle technology has greatly improved the efficiency of diagnosis and treatment of seminal vesiculitis, but its long-term efficacy and postoperative complications still need to be evaluated further.
Patients and methods: Ninety-eight patients with seminal vesiculitis were randomly assigned to a traditional medical treatment control group (n = 49) and a seminal vesiculoscopy group (n = 49). The clinical efficacy of the two groups of patients, including blood sperm and pain, was evaluated 1 month after surgery. The maximum urine flow rate (MFR) and the average urine flow rate (AFR) were measured.
Results: Compared with traditional medicine, seminal vesicle endoscopy has a higher clinical effect on seminal vesiculitis. Seminal vesicle therapy was more effective in reducing blood cells in patient’s semen and improving the patient’s urinary function. The seminal vesicle volume and seminal fructose were significantly improved.
Conclusions: The efficacy of seminal vesiculoscopy for seminal vesiculitis is better than traditional medicine.
Scheeren VFC, Sancler-Silva YFR, El-Sheikh Ali H, Kastelic JP, Alvarenga MA, Papa FO. Update on seminal vesiculitis in stallions. J Equine Vet Sci 2020; 94: 103234. doi: 10.1016/j.jevs.2020.103234
Hull BL, Vogel SR. Seminal vesiculitis. Vet Clin North Am Food Anim Pract 2008; 24(2): 267–72, vi. doi: 10.1016/j.cvfa.2008.02.006
Liu B, Song Z, Xu A, Su S, Wang Z, Yin C. Is abnormal expression of semenogelin I involved with seminal vesiculitis? Med Hypotheses 2014; 82(3): 338–40. doi: 10.1016/j.mehy.2013.12.022
Efesoy O, Cayan S, Akbay E. Novel algorithm for the management of hematospermia. Turk J Urol 2022; 48(6): 398–405. doi: 10.5152/tud.2020.20428.
Mathers MJ, Degener S, Sperling H, Roth S. Hematospermia-a Symptom With Many Possible Causes. Dtsch Arztebl Int 2017; 114(11): 186–91. doi: 10.3238/arztebl.2017.0186
Sancler-Silva YFR, Monteiro GA, Ramires-Neto C, Freitas-Dell’aqua CP, Crespilho AM, Franco MMJ, et al. Does semen quality change after local treatment of seminal vesiculitis in stallions? Theriogenology 2020; 144: 139–45. doi: 10.1016/j.theriogenology.2019.12.010
Xu B, Li P, Niu X, Zhang X, Wang Z, Qin C, et al. A new method of chronic and recurrent seminal vesiculitis treatment. J Endourol 2011; 25(11): 1815–8. doi: 10.1089/end.2010.0456
Chen WK, Yu DD, Wu ZG. [Application of transurethral seminal vesiculoscopy in uroandrology]. Zhonghua Nan Ke Xue 2020; 26(10): 938–43.
Chen WK, Yu DD, Chen ZX, Li PF, Cai J, Liu YP, et al. Transurethral seminal vesiculoscopy for intractable hematospermia: experience from 144 patients. BMC Urol 2021; 21(1): 48. doi: 10.1186/s12894-021-00817-4
Wang HB, Zhao LM, Hong K, Mao JM, Liu DF, Lin HC, et al. [Transurethral seminal vesiculoscopy in treatment of oligoasthenozoospermia secondary incomplete ejaculatory duct obstruction: a report of 8 cases]. Beijing Da Xue Xue Bao Yi Xue Ban 2020; 52(4): 642–5.
Pang K, Yang W, Zhang J, Cai L, Chen B, Zhang Z, et al. Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy. Wideochir Inne Tech Maloinwazyjne 2020; 15(1): 176–84. doi: 10.5114/wiitm.2019.86774
Song T, Zhang X, Zhang L, Zhang F, Fu WJ. Transurethral seminal vesiculoscopy in the diagnosis and treatment of seminal vesicle stones. Chin Med J (Engl) 2012; 125(8): 1475–8.
Chen R, Wang L, Sheng X, Piao SG, Nian XW, Cheng X, et al. Transurethral seminal vesiculoscopy for recurrent hemospermia: experience from 419 cases. Asian J Androl 2018; 20(5): 438–41. doi: 10.4103/aja.aja_76_17
Wang DC, Wang JQ. [Neurophysiological effects of seminal vesicles]. Zhonghua Nan Ke Xue. 2018; 24(4): 360–3.
Gonzales GF. Functional structure and ultrastructure of seminal vesicles. Arch Androl 1989; 22(1): 1–13. doi: 10.3109/01485018908986745
Zhang P, Wang XL, Yang ZH, Su XJ, Wang XH. A novel rat model of seminal vesiculitis. Asian J Androl 2019; 21(4): 360–4. doi: 10.4103/aja.aja_90_18
Catania R, Dasyam N, Furlan A, Borhani AA. Cross-sectional imaging of seminal vesicles and vasa deferentia. Abdom Radiol (NY) 2020; 45(7): 2049–62. doi: 10.1007/s00261-019-02368-7
Gonzales GF, Villena A. True corrected seminal fructose level: a better marker of the function of seminal vesicles in infertile men. Int J Androl 2001; 24(5): 255–60. doi: 10.1046/j.1365-2605.2001.00306.x
Torigian DA, Ramchandani P. Hematospermia: imaging findings. Abdom Imaging 2007; 32(1): 29–49. doi: 10.1007/s00261-006-9013-3
Drury RH, King B, Herzog B, Hellstrom WJG. Hematospermia etiology, diagnosis, treatment, and sexual ramifications: a narrative review. Sex Med Rev 2022; 10(4): 669–80. doi: 10.1016/j.sxmr.2021.07.004
Shah S, Sholklapper T, Creswell M, Pepin A, Cantalino J, Hankins RA, et al. Bothersome hematospermia following stereotactic body radiation therapy for prostate cancer. Front Oncol 2021; 11: 765171. doi: 10.3389/fonc.2021.765171
Leocadio DE, Stein BS. Hematospermia: etiological and management considerations. Int Urol Nephrol 2009; 41(1): 77–83. doi: 10.1007/s11255-008-9409-9
Expert Panel on Urologic I, Hosseinzadeh K, Oto A, Allen BC, Coakley FV, Friedman B, et al. ACR appropriateness criteria((R)) hematospermia. J Am Coll Radiol 2017; 14(5S): S154–S9. doi: 10.1016/j.jacr.2017.02.023
Efesoy O, Cayan S, Asci R, Orhan I, Yaman O. Hematospermia is rarely related to genitourinary cancer: lessons learned from 15 years of experience with 342 cases. Int J Impot Res 2021; 33(6): 627–33. doi: 10.1038/s41443-020-0330-9
Song L, Han H, Lei H, Cui Y, Feng S, Zhang X, et al. Successful treatment of seminal vesicle calculi and prostatic utricle calculi by transurethral seminal vesiculoscopy. Andrologia 2020; 52(11): e13804. doi: 10.1111/and.13804
Li ZY, Xu Y, Liu C, Xiao ZM, Luo BH, Xu GW, et al. Anatomical study of the seminal vesicle system for transurethral seminal vesiculoscopy. Clin Anat 2019; 32(2): 244–52. doi: 10.1002/ca.23293
Pang K, Lou K, Huang Y, Wang H, Hao L, Shi Z, et al. Application of ultrasound-guided seminal vesicle radiography combining CT three-dimensional reconstruction technique in transurethral seminal vesiculoscopy. Andrologia 2020; 52(11): e13845. doi: 10.1111/and.13845
Yang SC, Rha KH, Byon SK, Kim JH. Transutricular seminal vesiculoscopy. J Endourol 2002; 16(6): 343–5. doi: 10.1089/089277902760261347
Liao LG, Li YF, Zhang Y, Li K, Zhu T, Li BJ, et al. Etiology of 305 cases of refractory hematospermia and therapeutic options by emerging endoscopic technology. Sci Rep 2019; 9(1): 5018. doi: 10.1038/s41598-019-41123-2
Lira FTN, Bach PV, Miranda EP, Calisto S, Silva G, Antunes DL, et al. Management of ejaculatory duct obstruction by seminal vesiculoscopy: case report and literature review. JBRA Assist Reprod 2020; 24(3): 382–6.
Copyright (c) 2023 Di, Qingsong Yang, Weicong Zhu, Huangbin Ma
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain full copyright to their individual works, and publishing rights without restrictions.
In accordance with the Budapest Open Access Initiative, articles published in STEMedicine are freely available "on the public internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from gaining access to the internet itself. The only constraint on reproduction and distribution, and the only role for copyright in this domain, should be to give authors control over the integrity of their work and the right to be properly acknowledged and cited."
Except where otherwise noted, all content on this website is licensed under a Creative Commons Attribution 4.0 License. This license allows for commercial and non-commercial redistribution as well as modifications of the work as long as attribution is given to the authors and STEMedicine as the original publication source, and a link to the article on the STEMedicine website is provided.