Clinical study on the treatment of preoperative magnetic resonance imaging classification guiding seminal vesiculoscopy technique for distal seminal tract diseases
Objective To explore the feasibility and safety of preoperative magnetic resonance imaging(MRI)classification guiding seminal vesiculoscopy technique for treating distal seminal tract diseases.Methods The clinical data of 35 patients with distal seminal tract diseases who received seminal vesiculoscopy technique treatment at the Second People's Hospital of Hefei from January 2019 to February 2023 were retrospective analyzed.All patients underwent preoperative MRI of the distal part of the seminal tract,and were classified into two types based on the MRI imaging results:obstructive distal seminal tract diseases and non-obstructive distal seminal tract diseases.All patients underwent F6/7.5 seminal vesiculoscopy under epidural anaesthesia or general anaesthesia,and the vesiculoscope entry success rate,entry mode,operation time and postoperative complications of seminal vesiculoscopy in the two groups were analyzed and compared.Results Successful vesiculoscope entry into the seminal vesicle was achieved in all 35 cases of seminal vesiculoscopy.Of the 17 patients diagnosed with obstructive distal seminal tract diseases by MRI,seminal vesicle entry via the small sac was required in 88.2%(15/17)patients,with an average operation time of(96.8±58.7)minutes.Meanwhile,of the 18 patients diagnosed as non-obstructive distal seminal tract diseases by MRI,and seminal vesicle entry via the small sac was required in 44.4%(8/18)patients,with an average operation time of(96.9±59.2)minutes.There was statistically significant difference between two group of patients in entry methods was(P＜0.05),but not in operation times(P＞0.05).Postoperative follow-up revealed no serious complications like epididymitis,retrograde ejaculation,or rectal injury in all patients.Conclusions Preoperative MRI classification effectively guides the choice of seminal vesiculoscopy approach in distal seminal tract disease patients,improves vesiculoscope entry success rate of surgery and increases safety of the surgery.
NETL
NSTL
万方数据
维普
