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Transutricular seminal vesiculoscopy
Seung Choul Yang1, Koon Ho Rha, Sang Kwon Byon
1The Urological Science Institute, Yonsei University, College of Medicine, Seoul, Korea.
Journal of Endourology
|September 14, 2002
Summary
Transutricular seminal vesiculoscopy offers a novel endoscopic method for visualizing seminal vesicle disorders. This technique aids in diagnosing conditions like hemospermia and identifying calculi, providing valuable clinical insights.
Area of Science:
- Urology
- Endoscopy
- Diagnostic Techniques
Background:
- Seminal vesicle disorders traditionally rely on imaging, lacking direct visualization.
- A need exists for minimally invasive techniques to examine seminal vesicle interiors.
Purpose of the Study:
- To introduce and evaluate transutricular seminal vesiculoscopy as a diagnostic tool.
- To assess the efficacy of this endoscopic method in evaluating seminal vesicle pathologies.
Main Methods:
- Development of a transutricular endoscopic technique using rigid ureteroscopes (6F or 9F).
- Application in 37 patients with hemospermia and 2 with prostate carcinoma.
- Preoperative imaging (TRUS/endorectal MRI) and postoperative follow-up (>3 months).
Main Results:
- Hemorrhage identified in 62.2% of hemospermic patients' seminal vesicles.
- Calculi detected in 16.2% of seminal vesicles and 5.4% of ejaculatory ducts.
- Endoscopic evaluation proved informative in prostate carcinoma cases; no major complications observed.
Conclusions:
- Transutricular seminal vesiculoscopy is a feasible and informative endoscopic procedure.
- It provides valuable direct visualization for seminal vesicle disorders and associated conditions.
- The technique is easily performed with standard endoscopic equipment and shows a favorable safety profile.