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BMC Surgery
Published in: BMC Surgery 1/2023

Open Access 01-12-2023 | Incision | Research

Efficacy of various surgical approaches in treating hematospermia using transurethral seminal vesiculoscopy

Authors: Rui-Jie Yao, Hong Xiao, Shu-Shen Chen, Zhi-Hao Feng, Yi-Lang Ding, Xi Chen, Song-Xi Tang, Hui-Liang Zhou

Published in: BMC Surgery | Issue 1/2023

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Abstract

Purpose

To explore the efficacy of different approaches of seminal vesiculoscopy surgery and the predictive factors of good treatment outcome.

Materials and Methods

A retrospective analysis of 68 patients who underwent seminal vesiculoscopy for hematospermia in our hospital from January 2015 to January 2021. According to different surgical approaches, they were divided into three groups: natural ejaculatory ducts (method A, 45 cases), assisted transurethral resection/incision of ejaculatory ducts (method B, 14 cases), fenestration in prostatic utricle (method C, 9 cases). We analyzed the recurrence rate of the three surgical approaches and the predictive factors of treatment efficacy.

Results

The total recurrence rate after the seminal vesiculoscopy for hematospermia in this group was 32.35%. The postoperative recurrence rates of the three methods were 24.44% for method A, 50.00% for method B and 44.44% for method C, and there was no significant difference among the three methods (P > 0.05). The data of five predictors of 45 cases in method A group were included in the Univariate Logistic analysis, the results suggest that whether complicated with seminal tract stones/cysts was an effective predictor (OR 0.250, P = 0.022), which was still an effective predictor in the Multivariate Logistic analysis model (OR 0.244, P = 0.010).

Conclusions

The Transurethral seminal vesiculoscopy technique demonstrates a low postoperative recurrence rate in treating hematospermia. Among the various approaches, the intraoperative use of natural orifices through the ejaculatory duct exhibits the lowest recurrence rate. Additionally, seminal tract stones/cysts effectively predict favorable postoperative outcomes.
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Metadata
Title
Efficacy of various surgical approaches in treating hematospermia using transurethral seminal vesiculoscopy
Authors
Rui-Jie Yao
Hong Xiao
Shu-Shen Chen
Zhi-Hao Feng
Yi-Lang Ding
Xi Chen
Song-Xi Tang
Hui-Liang Zhou
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Incision
Published in
BMC Surgery / Issue 1/2023
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-023-02290-2

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