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Related Experiment Videos

Step-by-step Laparoscopic Vesiculectomy for Hemospermia.

Marcos Figueiredo Mello1, Hiury Silva Andrade1, Victor Srougi1

  • 1Divisão de Urologia do Departamento de Cirurgia, Universidade de São Paulo, SP, Brasil.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|January 28, 2017
PubMed
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Hemospermia, or blood in semen, can indicate serious issues. Laparoscopic seminal vesicle surgery offers a safe and effective treatment with minimal complications, leading to symptom resolution.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Semen Pathology

Background:

  • Hemospermia is often benign but can signal underlying pathology, particularly in older men.
  • Persistent or recurrent hemospermia warrants thorough investigation for serious conditions.
  • Traditional open surgery for seminal vesicle issues carries significant morbidity.

Observation:

  • A case study details a 61-year-old man with a year of hemospermia, unresponsive to empirical treatment.
  • Imaging revealed a solid-cystic mass in the right seminal vesicle.
  • The patient underwent successful laparoscopic unilateral vesiculectomy.

Findings:

  • A cohort of three patients (mean age 53) with hemospermia underwent laparoscopic unilateral vesiculectomy.
  • The right side was more frequently affected.

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  • Histopathology revealed intraluminal blood content; one case showed amyloidosis.
  • All patients experienced complete symptom resolution post-surgery.

    • Implications:

    • Laparoscopic vesiculectomy is a safe and feasible surgical option for managing hemospermia.
    • This minimally invasive approach demonstrates good outcomes and reduced patient morbidity.
    • Laparoscopic techniques are becoming the preferred method for accessing seminal vesicles.