Effect of Seminal Vesicular Endoscopic Surgery Through the Rupture of Prostatic Vesicles for the Treatment of Seminal Vesiculitis
Objective To explore the clinical effect of seminal vesicular endoscopic surgery through the rupture of prostatic vesicles for the treatment of seminal vesiculitis.Methods Clinical data of 69 patients with seminal vesiculitis admitted to the First Affiliated Hospital of Zhengzhou University from September 2019 to September 2022 were retrospectively collected.According to the different surgical methods,the patients were divided into an observation group(35 cases,underwent seminal vesicular endoscopic surgery via the prostatic vesicle rupture approach)and a control group(34 cases,underwent seminal vesicular endoscopic surgery via the ejaculatory duct opening approach).The perioperative relevant indexes,seminal vesicle volume,red blood cell count,urodynamic indexes[maximum flow rate(Qmax),post-voided volume residua(PVR)],seminal plasma biochemical indicators before and 1 month after surgery were compared between the two groups,as well as the occurrence of postoperative complications and the recurrence of patients at 6 months of follow-up.Results The surgical time in the control group was longer than that in the observation group(P＜0.05).One month after surgery,the volume of seminal vesicles and the number of red blood cells in the control group were higher than those in the observation group(P＜0.05).At one month after surgery,the PVR levels in both groups were lower than before surgery,and the Qmax levels were higher than before surgery(P＜0.05).At one month after surgery,the levels of fructose and sialic acid in the seminal plasma of both groups were higher than before surgery(P＜0.05).Comparison of total incidence of postoperative complications between two groups,there was no significant difference(P＞0.05).At a postoperative follow-up of 6 months,the recurrence rate of patients with seminal vesiculitis in the control group was higher than that in the observation group(P＜0.05).Conclusion The treatment of seminal vesiculitis through transurethral vesicular puncture and seminal vesicular endoscopic surgery has a significant effect,which can shorten the surgical time of patients,reduce the number of red blood cells,seminal vesicle volume,and postoperative recurrence rate,improve the urodynamic and seminal plasma biochemical indicators of patients,and do not increase complications.
NETL
NSTL
万方数据
