Clinical application of seminal vesiculoscopy in the diagnosisand treatment of chronic vesiculitis
Objective To explore the safety and effectiveness of seminal vesiculoscopy in the diagnosis and treatment of chronic vesiculitis.Methods We retrospectively analyzed the clinical data of 58 patients with chronic vesiculitis treated with seminal vesiculoscopy during Dec.2013 and Dec.2015 in our hospital.The patients underwent transrectal ultrasonography,pelvis CT or MRI scan before the operation to exclude tumor,tuberculosis of seminal vesicle,and prostate tumor.After antibiotic treatment for 4 weeks,patients with symptoms unimproved received transurethral seminal vesiculoscopy.Stones were crushed with holmium laser lithotripsy,the old blood clots were washed,and the seminal vesicle was rinsed with dilute iodine water.After operation,patients received anti-infection treatment.Results All operations were successful.The operation time was 25-100 min(mean 53.4±19.3 min).No serious complications such as rectal injury or urinary incontinence occurred.During the follow-up,hematospermia disappeared in 54 cases,and accompanied symptoms were significantly improved or completely cured.There was significant difference in the remission rate of hematospermia for patients with different time of onset.Conclusion Seminal vesiculoscopy can be used to for patients with chronic vesiculitis whose are not responsive to conservative treatment.It is safe and effective,causing few complications.
NETL
NSTL
万方数据
维普
