Table of Contents Author Guidelines Submit a Manuscript
Minimally Invasive Surgery
Volume 2015, Article ID 946147, 4 pages
http://dx.doi.org/10.1155/2015/946147
Clinical Study

The Application of Pediatric Ureteroscope for Seminal Vesiculoscopy

1Department of Urology, The Affiliated Ganzhou City People’s Hospital of Nanchang University, Ganzhou, Jiangxi 341000, China
2Linyi City People’s Hospital, Linyi, Shandong 276003, China

Received 5 May 2015; Accepted 22 July 2015

Academic Editor: Peng Hui Wang

Copyright © 2015 Shulin Guo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.