Transurethral seminal vesiculoscopy for intractable hematospermia: experience from 144 patients

Abstract Purpose to describe the methodology of transurethral seminal vesiculoscopy and anatomy area verumontanum, determine safety this procedure, especially in terms postoperative complications. Methods This retrospective observational study enrolled 144 patients with intractable hematospermia from May 2011 August 2019. A 4.5/6.5-Fr vesiculoscope was inserted into vesicle deal positive findings. The solution quinolones used rinse each vesicle. Results In study, Transurethral successfully performed 139 (96.53%). Hematospermia alleviated or disappeared 116 (80.56%) by less than half a year after surgery. Common intraoperative manifestations were hemorrhage, stones, utricle polyps cysts. surgical approach our categorized four types, including 24 (16.7%), 73 (50.7%), 42 (29.2%), 5 (3.5%) cases Type (natural opening ejaculatory duct), B (trans-duct fenestration), C (trans-utricle D (not founded), respectively. Sexual function change recorded 12 111 patients, all method trans-utricle fenestration, 8 (7.21%), 3 (2.70%), 1 (0.90%) shorter intravaginal latency time, worse erection hardness loss orgasm, Conclusion is an effective safe procedure for management hematospermia. distal tract should be understood more deeply Wu’method (uncover-curtain method) needs promoted verify its universality safety. Besides, complications dysfunction discussed future multi-center clinical trials.